Individual
GAYLE LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15941 FAIRFIELD ST, DETROIT, MI 48238-4123
(313) 345-4310
Mailing address
15025 FENKELL ST, DETROIT, MI 48227-2647
(313) 340-2809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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