Individual
COURTNEY GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16141 REEDMERE AVE, BEVERLY HILLS, MI 48025-5552
(248) 915-0439
Mailing address
16141 REEDMERE AVE, BEVERLY HILLS, MI 48025-5552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093876
MI
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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