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Individual
MRS. VELMA JEAN WILSON
Active
Individual
MRS. VELMA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801075658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801075658
SOCIAL WORKER
MI
Enumeration date
07/18/2005
Last updated
01/18/2011
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