Individual
CONSTANCE C GWYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
17500 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4324
(248) 757-2098
(248) 757-2098
Mailing address
5390 CAMBOURNE PL, WEST BLOOMFIELD, MI 48322-4101
(313) 258-2086
(248) 757-2098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087813
MI
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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