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Kandyce Ivory Wilson
Peer Specialist in Rocky River, Ohio
NPI 1902496342

Kandyce Ivory Wilson is a Peer Specialist based in Rocky River, OH. Kandyce Ivory Wilson practices in Rocky River, OH. The NPI Number for Kandyce Ivory Wilson is 1902496342 and holds a License No. (Ohio).

The current practice location address for Kandyce Ivory Wilson is 1692 Lakeview Ave, Rocky River, OH and can be reached out via phone at 216-760-3563.

Location: 1692 Lakeview Ave, Rocky River, OH, 44116-2443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902496342
Provider Name
Kandyce Ivory Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1692 Lakeview Ave, Rocky River, OH, 44116-2443
Phone Number
216-760-3563
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1692 Lakeview Ave
City
Rocky River
State
Ohio
Zip
44116-2443
Phone Number
216-760-3563
Fax Number
person
Provider Business Mailing Address Details
Address
1692 Lakeview Ave
City
Rocky River
State
Ohio
Zip
44116-2443
Phone Number
216-760-3563
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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