NPI 1013576669
Tracey Wilson
Practice location
- Address
- 12010 Linwood St, Detroit, MI 48206-1108
- Phone
- (313) 867-1090
- Mailing address
- 7177 Huntcliff CT, West Bloomfield, MI 48322-2939
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1013576669
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jun 2019
- Record last updated
- 7 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.