| NPI | 1649735952 |
|---|---|
| Doing Business As | MELISSA M WILSON |
| Entity Type | Organization |
| Authorized Contact | CATHY GALLEGOS Manager Billing 517-483-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |