Individual
BIANCA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16327 DELREY AVE, CLEVELAND, OH 44128-1369
(440) 650-7215
Mailing address
16327 DELREY AVE, CLEVELAND, OH 44128-1369
(440) 650-7215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
09/25/2025
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