Individual
DEBRA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1259 CARLYON RD, EAST CLEVELAND, OH 44112-4129
(216) 482-4626
Mailing address
1259 CARLYON RD, EAST CLEVELAND, OH 44112-4129
(216) 482-4626
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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