Individual
SIERRA GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 423-3067
Mailing address
45773 BRYN MAWR RD, CANTON, MI 48187-5431
(734) 626-2925
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000029
MI
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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