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Individual

GWENDOLYN BRIMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, MS LLP

Contact information

Practice address
47818 VAN DYKE AVE, SHELBY TWP, MI 48317-3373
(586) 323-3620
Mailing address
47818 VAN DYKE AVE, SHELBY TWP, MI 48317-3373
(586) 323-3620

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014422
MI

Other

Enumeration date
10/26/2015
Last updated
10/26/2015
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