Individual
GRACE GERGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15400 TRENTON RD, SOUTHGATE, MI 48195-2075
(734) 284-4620
Mailing address
16215 ORCHARD TRL, LINDEN, MI 48451-8981
(810) 620-5358
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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