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Individual

BONNI GEMMELL AKALIS

Active
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Individual

BONNI GEMMELL AKALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA,LMSW

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
63610003166
MI
1041C0700X
Clinical Social Worker
Primary
6801014804
MI

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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