MEDICARE: AUDREY KAY ARMITAGE-GAEGAUF LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801106747	MI

General Provider Information

NPI Number	:	1043191901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY KAY ARMITAGE-GAEGAUF LMSW

Provider Business Mailing Address
First Line	:	328 E LAWRENCE AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-3450
Country	:	US
Telephone Number	:	248-807-4095
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 E 11 MILE RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1961
Country	:	US
Telephone Number	:	248-329-3879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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