Willie Mae Buxton | Southfield, MI • PECOS Search

Willie Mae Buxton

Social Worker

Behavioral Health & Social Service Providers

22555 Staunton St, Southfield, MI 48033-3421

(248) 835-0292 1248835029

PECOS Enrollment

Based on the most recent information from CMS, provider Willie Mae Buxton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1023451978
Provider Type
Individual
Full Name
Buxton, Willie Mae
Title
Miss
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/10/2013
Last Updated
4/10/2013

Contact Information

Practice Location

22555 Staunton St, Southfield, MI 48033-3421

Unlisted Fax

Mailing Location

22555 Staunton St, Southfield, MI 48033-3421

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801067766 Michigan