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1992213573
ALVIN JODY WILSON
CHILLICOTHE, OH
NPI
1992213573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 141243)
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
ALVIN JODY WILSON LCDCIII
11402 STATE ROUTE 50
CHILLICOTHE, OH 45617
Phone number: 740-702-2200
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Mailing Address
ALVIN JODY WILSON LCDCIII
382 S MCARTHUR ST
CHILLICOTHE, OH 45601-3627
Phone number: 740-702-2200
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