Shaa-Ista Simmons-Wilcox's National Provider Identifier (NPI) Details
Shaa-Ista Simmons-Wilcox, LMSW
NPI: 1699394544
Enumeration Date: 2020-04-10
Last updated: 2020-04-10
Sole Proprietor: NO
Status: active
Postal Address: 15812 CHARLESTON DR, CLINTON TWP, MI
Phone: 313-658-3109
Primary Practice Address: 15812 CHARLESTON DR, CLINTON TWP, MI
Practice's phone: 313-658-3109