Individual
REANDYLYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 RICHTON ST, DETROIT, MI 48206-1003
(248) 678-3672
Mailing address
3225 RICHTON ST, DETROIT, MI 48206-1003
(248) 678-3672
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
03/10/2026
Last updated
03/20/2026
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