Individual
ALEXANDRIA JUNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(419) 913-9791
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OH
1041C0700X
Clinical Social Worker
6851118581
MI
Other
Enumeration date
09/06/2023
Last updated
06/27/2024
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