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Dennerra Brenae Wilson

Case Manager/Care Coordinator in Pickerington, OH. Individual provider (NPI-1).

NPI number1245083104
StatusActive
Last updated in NPPESApr 10, 2024

Details

NPI
1245083104
Entity type
Individual (NPI-1)
Name
Dennerra Brenae Wilson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2024
Certification date
Apr 10, 2024
Last updated
Apr 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235

Phone 614-726-7359

Mailing address

675 Trevino Ln
Galloway, OH 43119-8229

Phone 614-200-2359

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