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1710767124
EDWARD WILSON
WARREN, OH
NPI
1710767124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.185939)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
EDWARD WILSON CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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Mailing Address
EDWARD WILSON CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
Copy
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