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Organization
KELSEY GAULT THERAPY PLLC
Active
Organization
KELSEY GAULT THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY GAULT LMSW-C, C-SSWS (SOCIAL WORKER/OWNER)
(248) 826-4558
Entity
Organization
Contact information
Practice address
38621 DARBYSHIRE, FARMINGTON HILLS, MI 48331-2881
(248) 462-6764
Mailing address
38621 DARBYSHIRE, FARMINGTON HILLS, MI 48331-2881
(248) 826-4558
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/22/2024
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