Individual
MR. GERALD STANLEY KWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC LMSW
Contact information
Practice address
15370 LEVAN RD., #2, LIVONIA, MI 48154
(734) 744-0170
(734) 744-0171
Mailing address
8962 PERE AVE, LIVONIA, MI 48150-3339
(734) 744-0170
(734) 744-0171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004253
MI
1041C0700X
Clinical Social Worker
6801003716
MI
Other
Enumeration date
07/24/2006
Last updated
02/11/2011
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