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1639996945
KELLY L WILDES
YOUNGSTOWN, OH
NPI
1639996945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.189536)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
KELLY L WILDES CDCA-PRE
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509-1227
Phone number: 330-797-0070
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Mailing Address
KELLY L WILDES CDCA-PRE
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509-1227
Phone number: 330-797-0070
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