Individual
BERNADETTE WIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28119 GRAND DUKE DR, FARMINGTON HILLS, MI 48334-5218
(248) 476-2229
Mailing address
51219 NARDONE AVE, SHELBY TOWNSHIP, MI 48316-4632
(586) 994-6939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801077273
MI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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