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Individual

MS. WILMA LORRAINE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW,ACSW,CAMF

Contact information

Practice address
25305 GREENBROOKE DR, SOUTHFIELD, MI 48033-5285
(313) 303-0092
(248) 350-8008
Mailing address
25305 GREENBROOKE DR, SOUTHFIELD, MI 48033-5285
(313) 303-0092
(248) 350-8008

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801016489
MI
1041C0700X
Clinical Social Worker
6801016489
MI
1041S0200X
School Social Worker
Primary
6801016489
MI

Other

Enumeration date
10/24/2009
Last updated
10/24/2009
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