Individual
DEBORAH R WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NORTHWEST AVE, TALLMADGE, OH 44278-1808
(330) 819-4384
Mailing address
30 NORTHWEST AVE, TALLMADGE, OH 44278-1808
(330) 819-4384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/22/2018
Last updated
03/23/2022
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