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1881767697
BERNADETTE WIXSON
FARMINGTON HILLS, MI
NPI
1881767697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801077273)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- BERNADETTE WIXSON
28119 GRAND DUKE DR
FARMINGTON HILLS, MI 48334-5218
Phone number: 248-476-2229
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Mailing Address
-- BERNADETTE WIXSON
51219 NARDONE AVE
SHELBY TOWNSHIP, MI 48316-4632
Phone number: 586-994-6939
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