Individual
LEA WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25554 W 12 MILE RD, #103, SOUTHFIELD, MI 48034-8051
(313) 550-3137
Mailing address
30508 N GREENBRIAR RD, FRANKLIN, MI 48025-1459
(313) 550-3137
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2013
Last updated
07/04/2019
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