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Individual

MADISON ANNE MARIE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7423 TIFFANY S, YOUNGSTOWN, OH 44514-3908
(330) 629-2955
Mailing address
804 ROBBINS AVE, NILES, OH 44446-2432
(330) 974-3029

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
191167
OH
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/06/2025
Last updated
04/29/2026
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