Individual
GAILORD C WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1870 LEONARD NE, GRAND RAPIDS, MI 49505
(616) 956-1122
(616) 956-8033
Mailing address
905 S STEWART AVE, FREMONT, MI 49412-9201
(231) 924-5309
(231) 924-1685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003219
MI
Other
Enumeration date
04/06/2006
Last updated
12/07/2012
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