Individual
MR. GREGORY ALVIN WILSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5500 ARMSTRONG ROAD, BATTLE CREEK, MI 49037
(269) 223-6907
(269) 223-6907
Mailing address
151 MEDGAR EVERS ST, GRAMBLING, LA 71245-3211
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
9259
LA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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