Individual
GALE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
50630 CHESTERFIELD RD, CHESTERFIELD, MI 48051-4009
(586) 949-7680
Mailing address
6352 MARINA DR, CLAY, MI 48001-4254
(810) 300-3357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007260
MI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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