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Individual
SIMONE WILSON
Active
Individual
SIMONE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LLMSW, CAADC-DP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102161
MI
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/16/2016
Last updated
08/06/2019
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