Individual
GWENDYLON WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MSW, QMHP,QIDP
Contact information
Practice address
882 OAKMAN BLVD STE C, DETROIT, MI 48238-4019
(313) 961-4890
Mailing address
PO BOX 15053, DETROIT, MI 48215-0053
(313) 377-0894
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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