Individual
KAYLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W
Contact information
Practice address
136 S ANDRE ST, SAGINAW, MI 48602-2516
(989) 284-0605
Mailing address
136 S ANDRE ST, SAGINAW, MI 48602-2516
(989) 284-0605
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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