Individual
GAYLE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
614 STANTON ST APT 4, PORT HURON, MI 48060-3712
(810) 882-8561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
01/18/2024
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