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1952510323
SANDRA WILSON
DETROIT, MI
NPI
1952510323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- SANDRA WILSON
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
-- SANDRA WILSON
19610 ALBANY ST
DETROIT, MI 48234-2541
Phone number: 313-366-2814
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