Individual
ROSA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32231 SCHOOLCRAFT RD, LIVONIA, MI 48150-4312
(734) 266-6800
Mailing address
103 RIVIERA DR, SAINT CLAIR SHORES, MI 48080-1568
(734) 930-8153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013288
MI
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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