Individual
DEANA TERRY SIMON GWIZDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
913 W HOLMES RD # 200, LANSING, MI 48910-0426
(517) 887-0226
(517) 887-8121
Mailing address
913 W HOLMES RD # 200, LANSING, MI 48910-0426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096824
MI
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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