Individual
GREGORY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RSW, CPS
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 919-9499
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802081729
MI
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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