Individual
MS. ALEXANDRA ELIZABETH GABRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1115
(248) 706-3450
Mailing address
37301 STONEGATE CIR, CLINTON TOWNSHIP, MI 48036-2962
(586) 817-9094
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801095726
MI
1041C0700X
Clinical Social Worker
Primary
6801095726
MI
Other
Enumeration date
05/01/2018
Last updated
09/30/2024
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