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Matthew Allen Wilson

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

NPI number1336733609
StatusActive
Last updated in NPPESFeb 26, 2021

Details

NPI
1336733609
Entity type
Individual (NPI-1)
Name
Matthew Allen Wilson
Sex
Male
Sole proprietor
No
Enumeration date
Feb 26, 2021
Certification date
Feb 26, 2021
Last updated
Feb 26, 2021

Taxonomy and licenses

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

Practice location

205 Wadsworth Rd
Wadsworth, OH 44281-9580

Phone 234-217-8882 · Fax 234-217-8941

Mailing address

205 Wadsworth Rd
Wadsworth, OH 44281-9580

Phone 234-217-8882 · Fax 234-217-8941

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