Individual
SYDNEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 UTAH AVE, FLINT, MI 48506
(989) 915-7072
Mailing address
1526 UTAH AVE, FLINT, MI 48506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
W 425 782 630 146
MI
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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