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Individual

ANGELO GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, LPC

Contact information

Practice address
4512 DIXIE HWY, WATERFORD, MI 48329-3514
(248) 909-1869
(248) 599-7392
Mailing address
70 VIRGINIA PARK ST, DETROIT, MI 48202-2037
(313) 559-0869

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401000319
MI

Other

Enumeration date
02/10/2022
Last updated
02/10/2022
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