Individual
DAYRELL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(248) 599-8999
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(248) 599-8999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381917278
WORK IDENTIFIER
MI
Enumeration date
07/26/2013
Last updated
11/03/2025
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