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Destiny Callaham-Wilson

NPI 1437088051 · on the registry since 2026 · sole proprietor

Practice

Address
8115 Indiana St
Detroit, MI 48204
Phone
(313) 288-0976

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-18

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