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Organization
TGW MEDICAL INC
Active
Organization
TGW MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GIBBS (MANAGER)
(313) 924-9478
Entity
Organization
Contact information
Practice address
8537 VAN DYKE ST, DETROIT, MI 48213-2374
(313) 924-9478
Mailing address
8537 VAN DYKE ST, DETROIT, MI 48213-2374
(313) 924-9478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801061937
MI
1041C0700X
Clinical Social Worker
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
10/15/2007
Last updated
12/18/2008
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