Individual
BIANCA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, SSW
Contact information
Practice address
13854 LAKESIDE CIR STE 255, STERLING HEIGHTS, MI 48313-1316
(248) 206-5787
Mailing address
13854 LAKESIDE CIR STE 255, STERLING HEIGHTS, MI 48313-1316
(248) 206-5787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096162
MI
1041S0200X
School Social Worker
6801096162
MI
Other
Enumeration date
09/13/2016
Last updated
02/26/2018
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