Individual
REABA GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Mailing address
23300 PROVIDENCE DR APT 512, SOUTHFIELD, MI 48075-3629
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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