Individual
MARY GILLIAM-ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.C.
Contact information
Practice address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
(269) 429-5754
Mailing address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
(269) 429-5754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012360
MI
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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