Individual
MS. GRETCHEN LYNN ROUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
3830 PACKARD ST, SUITE 250, ANN ARBOR, MI 48108-2051
(734) 657-5247
(734) 975-2909
Mailing address
466 MARION ST, YPSILANTI, MI 48197-2015
(734) 480-2071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801058490
MI
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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