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NPI Code Detail

MEDICARE: ALISON MARIE GABRIDGE LMSW

MEDICARE:   ALISON MARIE GABRIDGE  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
11041C0700XClinical Social Worker6801093457MI

General Provider Information

NPI Number : 1447553391
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON MARIE GABRIDGE LMSW
Provider Business Mailing Address
First Line : 37500 GARFIELD RD STE 175
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-3664
Country : US
Telephone Number : 586-792-5335
Fax Number :
Provider Business Practice Location Address
First Line : 37500 GARFIELD RD STE 175
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-3664
Country : US
Telephone Number : 586-792-5335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2010
Last Update Date : 03/13/2023

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Directions to “ ALISON MARIE GABRIDGE LMSW” Practice Location

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