Individual
GREGORY SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2009 MAPLE NORTH TRL, WIXOM, MI 48393-1867
(248) 787-5367
Mailing address
2009 MAPLE NORTH TRL, WIXOM, MI 48393-1867
(248) 787-5367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451019677
MI
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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