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1457824534
SUSAN KYLENE WILSON
TOLEDO, OH
NPI
1457824534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 166886)
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
SUSAN KYLENE WILSON
3170 W CENTRAL AVE
TOLEDO, OH 43606-2945
Phone number: 567-316-7253
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Mailing Address
SUSAN KYLENE WILSON
128 S 8TH ST
UPPER SANDUSKY, OH 43351-1353
Phone number: 419-508-9601
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