Individual
DEBRA WILLIAMS GONIWICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22201 MOROSS RD, PB2 STE 370, DETROIT, MI 48236-2169
(313) 343-7122
(313) 343-7126
Mailing address
70379 NATURES WAY, RICHMOND, MI 48062-5559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087306
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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