Individual
MS. CYNTHIA DEBORAH WILCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1322 N RIVER RD, NORSERV GROUP LTD, ST CLAIR, MI 48060
(810) 329-4798
(810) 329-7303
Mailing address
1206 PALMER CT, PORT HURON, MI 48060
(810) 985-6235
(810) 329-7303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741335
—
MI
Enumeration date
03/30/2006
Last updated
07/19/2010
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