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Individual

GABRIELLE VANWERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 372-4700
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4597
(517) 320-2420

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010027
MI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/05/2019
Last updated
09/05/2024
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