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Individual

CHRISTINA LYNN GAGNIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
6583 CONCESSION 6, S, RR#5, AMHERSTBURG, ONTARIO N9V 0-C8
(519) 982-7915

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3674483
MI
104100000X
Social Worker
819449
ZZ

Other

Enumeration date
12/19/2014
Last updated
12/19/2014
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