Individual
MS. MAKENNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
(586) 817-4623
Mailing address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023752
MI
101Y00000X
Counselor
—
—
Other
Enumeration date
05/22/2023
Last updated
03/12/2025
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