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Individual

MS. CARLITA N WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
20548 FENKELL ST, DETROIT, MI 48223-1613
(313) 255-3333
(313) 255-4335
Mailing address
20548 FENKELL ST, DETROIT, MI 48223-1613
(313) 255-3333
(313) 255-4335

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801034657
MI

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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