Individual
THOMAS J GRDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
2650 LUMBERJACK DR, DANSVILLE, MI 48819-9653
(248) 633-6554
Mailing address
2650 LUMBERJACK DR, DANSVILLE, MI 48819-9653
(248) 633-6554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016433
MI
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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