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Individual

GAGE PEAVLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
44444 HAYES RD, CLINTON TOWNSHIP, MI 48038-7600
(586) 210-6682
Mailing address
57591 OLD RED LN, NEW HAVEN, MI 48048-3143
(586) 770-1202

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801108990
MI
1041C0700X
Clinical Social Worker

Other

Enumeration date
02/18/2021
Last updated
04/02/2025
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