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Individual

MRS. GRETCHEN MARIE HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LLP,LPC, CAADC

Contact information

Practice address
29335 WALL ST, WIXOM, MI 48393-3529
(248) 770-6499
(248) 385-2964
Mailing address
10708 KENICOTT TRL, BRIGHTON, MI 48114-9075
(248) 770-6499
(248) 385-2964

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401003560
MI
103TC0700X
Clinical Psychologist
6301008426
MI

Other

Enumeration date
09/27/2006
Last updated
05/03/2022
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