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Organization

CUBE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD TERLEP LMSW (OWNER / PROVIDER)
(586) 218-7532
Entity
Organization

Contact information

Practice address
18245 10 MILE ROAD, SUITE 140, ROSEVILLE, MI 48066
(586) 218-7532
Mailing address
50486 JEFFERSON, NEW BALTIMORE, MI 48047
(586) 218-7532

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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