Individual
AMBER D WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
(513) 354-7115
Mailing address
121 N MAIN ST, GEORGETOWN, OH 45121-1022
(937) 483-4189
(937) 378-0951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
11/19/2018
Last updated
05/05/2022
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