Individual
CARLI GILLIAM-WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QIDP
Contact information
Practice address
6375 KOLB AVE, ALLEN PARK, MI 48101-2336
(313) 550-2291
Mailing address
6375 KOLB AVE, ALLEN PARK, MI 48101-2336
(313) 550-2291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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