GLENN DAVID WILSON

WATERFORD, MI
NPI1831294297
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
Mr. GLENN DAVID WILSON MS,CAC1,ADOA
1435 N OAKLAND BLVD
WATERFORD, MI 48327-1549
Phone number: 248-406-0090
Mailing Address
Mr. GLENN DAVID WILSON MS,CAC1,ADOA
2930 SARATOGA DR
TROY, MI 48083-2650
Phone number: 248-343-1368
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