Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 529-6248
Mailing address
1353 WAYBURN ST APT 1, GROSSE POINTE PARK, MI 48230-8000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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