Organization
CUBE
Active
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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