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Individual

HOLLY WIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
42 N MOUNT TOM RD, MIO, MI 48647-8739
(989) 387-3992
Mailing address
PO BOX 148, MIO, MI 48647-0148
(989) 826-3208

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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