Individual
MS. GWENDOLYN FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22325 LA GARONNE ST, APT. 601, SOUTHFIELD, MI 48075-4047
(248) 327-6196
Mailing address
22325 LA GARONNE ST, APT. 601, SOUTHFIELD, MI 48075-4047
(248) 327-6196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801069671
MI
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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