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NPI Code Detail

MEDICARE: GAIL ANDERSON LLMSW

MEDICARE: GAIL ANDERSON LLMSW
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
11041C0700XClinical Social Worker6851116866MI

General Provider Information

NPI Number : 1245923408
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL ANDERSON LLMSW
Provider Business Mailing Address
First Line : 43067 HIDDENCOVE CT APT 1401
Second Line :
City : NOVI
State : MI
Zip : 48375-3285
Country : US
Telephone Number : 248-826-7727
Fax Number :
Provider Business Practice Location Address
First Line : 27780 NOVI RD STE 244
Second Line :
City : NOVI
State : MI
Zip : 48377-3427
Country : US
Telephone Number : 248-826-7727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2023
Last Update Date : 06/01/2023

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Directions to “ GAIL ANDERSON LLMSW” Practice Location

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