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NPI Code Detail

MEDICARE: ARIKA WILSON LSW

MEDICARE: ARIKA WILSON LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.2309891OH

General Provider Information

NPI Number : 1578349288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIKA WILSON LSW
Provider Business Mailing Address
First Line : 1815 TUTTLE AVE
Second Line :
City : DAYTON
State : OH
Zip : 45403-3429
Country : US
Telephone Number : 937-241-0221
Fax Number :
Provider Business Practice Location Address
First Line : 948 PATTERSON RD
Second Line :
City : DAYTON
State : OH
Zip : 45419-4336
Country : US
Telephone Number : 380-500-5030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2023
Last Update Date : 09/07/2023

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Directions to “ ARIKA WILSON LSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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