Abigail Adeline Wilson SST, CADC

NPI 1407149586 - Counselor - 101YA0400X

NPI Details
NPI 1407149586
Gender Female
Enumeration Date 05/23/2011
Last Updated 05/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
14799 DIX TOLEDO RD
SOUTHGATE MI, 48195-2507, US
Phone (734) 324-8326
Fax (734) 324-8327
Business Location
14799 DIX TOLEDO RD
SOUTHGATE MI, 48195-2507, US
Phone (734) 324-8326
Fax (734) 324-8327
Toxanomy
Taxonomy Code 101YA0400X
License State Michigan
License Number 6803085526
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According to our database, Mrs. Abigail Adeline Wilson SST, CADC NPI is 1407149586, taxonomy code is 101YA0400X and license number is 6803085526, license state is located at Michigan. Abigail Adeline Wilson SST, CADC physically located at 14799 Dix Toledo Rd, Southgate MI, 48195-2507. NPI Number Abigail Adeline Wilson SST, CADC has the Individual type.

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1407149586 NPI number is provided on an as is basis without warranty of any kind. 1407149586 is maintained by the National Plan & Provider Enumeration System. The contents of Abigail Adeline Wilson SST, CADC are for informational purposes only.