Individual
MS. JACQUELINE FRANCES GATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1347 SMITH AVE, BIRMINGHAM, MI 48009-2039
(248) 763-6338
(248) 645-6051
Mailing address
1347 SMITH AVE, BIRMINGHAM, MI 48009-2039
(248) 763-6338
(248) 645-6051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801007725
MI
1041C0700X
Clinical Social Worker
6801007725
MI
Other
Enumeration date
12/31/2006
Last updated
10/26/2011
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