Individual
CHRISTOPHER GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 W WACKERLY ST STE 11, MIDLAND, MI 48640-2769
(989) 832-2165
Mailing address
1521 W CARPENTER ST, MIDLAND, MI 48640-4339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117354
MI
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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