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Individual

JIM GILFIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
19366 ALLEN RD, BROWNSTOWN, MI 48183
(734) 405-0176
Mailing address
1547 S WAYNE RD, WESTLAND, MI 48186-5436
(734) 405-0176

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801058549
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
383501869
APEX BEHAVIORAL TAX ID
MI
Enumeration date
06/11/2008
Last updated
06/11/2008
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