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Organization
GAIL KIACZ LMSW LLC
Active
Organization
GAIL KIACZ LMSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL KIACZ (OWNER)
(810) 691-1114
Entity
Organization
Contact information
Practice address
120 W EXCHANGE ST STE 3-6, OWOSSO, MI 48867-2834
(989) 494-3105
Mailing address
9710 E LYTLE RD, LENNON, MI 48449-9753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
06/25/2020
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