Search › Michigan › 1041C0700X
Simone Wilson, MSW, LLMSW, CAADC-DP
NPI 1518317890 · on the registry since 2016
Practice
- Address
- 20411 W 12 Mile Rd Ste 101
Southfield, MI 48076 - Phone
- (866) 703-1901
- Organisation at this address
- Tiffany M. Boards
Advancedmed Dme Llc
Adv Medical Equipment, Llc
Intentional Home Healthcare
Medical Evaluations And Testing P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 13336-40 E. Warren Ave, Detroit, MI
- 229 N Sheldon Rd, Plymouth, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 106S00000X
247200000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan