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Robert Daniel Wilson, CDCA

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

NPI number1669938569
StatusActive
Last updated in NPPESJun 23, 2022

Details

NPI
1669938569
Entity type
Individual (NPI-1)
Name
Robert Daniel Wilson
Credential
CDCA
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2019
Certification date
Jun 23, 2022
Last updated
Jun 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.181096OH

Practice location

2624 Lexington Ave
Springfield, OH 45505-2620

Phone 937-328-5300

Mailing address

2624 Lexington Ave
Springfield, OH 45505-2620

Phone 937-328-5300

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