Individual
MRS. ABIGAIL ADELINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST, CADC
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 324-8327
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 324-8327
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6803085526
MI
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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