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Individual

MRS. HOLLY GENE WIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
128 S COCHRAN AVE, CHARLOTTE, MI 48813-1510
(517) 325-9090
(517) 325-9091
Mailing address
8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
(616) 350-7781

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095663
MI

Other

Enumeration date
06/28/2013
Last updated
05/27/2020
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