Individual
MR. CHARLES GARY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
(313) 922-8771
Mailing address
751 E GRAND BLVD, DETROIT, MI 48207-2529
(313) 922-2222
(313) 922-8771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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