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Organization
FAMILY CHOICE COUNSELING & CASE MANAGEMENT SERVICES
Active
Organization
FAMILY CHOICE COUNSELING & CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAJUAN S. GIBSON L.M.S.W. (PRESIDENT/CEO)
(810) 210-7558
Entity
Organization
Contact information
Practice address
3280 N ELMS RD, SUITE G, FLUSHING, MI 48433-1871
(810) 210-7558
Mailing address
3280 N ELMS RD, SUITE G, FLUSHING, MI 48433-1871
(810) 210-7558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088926
MI
Other
Enumeration date
04/04/2012
Last updated
09/19/2013
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