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Contact Information

ANDREA D WILSON, BACHELOR OF ARTS
2400 SOUTHEAST BLVD STE B, SALEM, OH 44460
SALEM, OH44460
 Phone: 330-779-1897
 Fax: 330-779-8225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANDREA D WILSON · (Female)

NPI # 1457852675
Status Active
Credentials BACHELOR OF ARTS
Entity Individual
Enumeration date 02/22/2018
Last updated 03/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 0279926
  • OH License # CDCAPRE.195140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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