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Individual

ALVIN JODY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDCIII

Contact information

Practice address
11402 STATE ROUTE 50, CHILLICOTHE, OH 45617
(740) 702-2200
(740) 702-2202
Mailing address
382 S MCARTHUR ST, CHILLICOTHE, OH 45601-3627
(740) 702-2200
(740) 702-2202

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141243
OH

Other

Enumeration date
01/17/2018
Last updated
01/17/2018
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