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1699394544
SHAA-ISTA SIMMONS-WILCOX
CLINTON TWP, MI
NPI
1699394544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801106740)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
SHAA-ISTA SIMMONS-WILCOX LMSW
15812 CHARLESTON DR
CLINTON TWP, MI 48038-1018
Phone number: 313-658-3109
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Mailing Address
SHAA-ISTA SIMMONS-WILCOX LMSW
15812 CHARLESTON DR
CLINTON TWP, MI 48038-1018
Phone number: 313-658-3109
Copy
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