Individual
DR. GALE SWAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5119 WILLOW POND DR, WEST BLOOMFIELD, MI 48323-2083
(248) 681-0189
Mailing address
5119 WILLOW POND DR, WEST BLOOMFIELD, MI 48323-2083
(248) 681-0189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001218
MI
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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