Individual
GWENYTH MARIE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
711 E GRAND RIVER AVE, BRIGHTON, MI 48116-2474
(517) 896-3592
Mailing address
201 S 1ST ST APT 123, ANN ARBOR, MI 48104-1761
(734) 730-9188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801115748
MI
1041C0700X
Clinical Social Worker
6801115748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382833497
—
MI
Enumeration date
09/02/2015
Last updated
02/27/2024
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