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Individual
ELAINE HENRIETTA WILSON
Active
Individual
ELAINE HENRIETTA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDSPC, LMSW /LPC/MAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401000467
MI
101YP2500X
Professional Counselor
6401000467
MI
104100000X
Social Worker
6801059944
MI
1041C0700X
Clinical Social Worker
Primary
6801059944
MI
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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