Individual
MRS. ANDREA ANTOINETTE WILSON LOVE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MADISON AVE STE 200, TOLEDO, OH 43604-1230
(567) 312-8700
(567) 312-8793
Mailing address
6644 PALMETTO ST, CINCINNATI, OH 45227-3128
(513) 972-9480
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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