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Individual

TAMMARA S WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPC, MSW

Contact information

Practice address
319 PARK ST, PLAINWELL, MI 49080-1655
(269) 685-9401
Mailing address
247 MARKUS GLEN DR, PLAINWELL, MI 49080-9557
(269) 598-3776

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022168
MI

Other

Enumeration date
08/02/2022
Last updated
08/02/2022
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