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Individual

MARY GLORIA GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
303 RIDGEWAY ST, SAINT JOSEPH, MI 49085-1048
(269) 983-5285
(269) 983-3531
Mailing address
303 RIDGEWAY ST, SAINT JOSEPH, MI 49085-1048
(269) 983-5285
(269) 983-3531

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L2408634
MI

Other

Enumeration date
10/02/2014
Last updated
10/02/2014
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