Individual
GABRIELLE L DUROCHER-RADEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(877) 906-9699
(888) 483-0118
Mailing address
5360 OSLUND RD, MANCELONA, MI 49659-8020
(413) 446-9699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801114448
MI
Other
Enumeration date
02/27/2019
Last updated
02/20/2024
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