Individual
BRIEANA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 SHAKER BLVD, CLEVELAND, OH 44104-3869
(216) 471-8813
Mailing address
12501 MARNE AVE, CLEVELAND, OH 44111-4547
(216) 268-9298
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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