Individual
MS. JOAN GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1852 W. GRAND BLVD, DETROIT, MI 48208
(313) 617-3033
(313) 733-2699
Mailing address
2682 BUTTERNUT, DETROIT, MI 48216-1129
(313) 617-3033
(313) 733-2699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/28/2011
Last updated
03/07/2011
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