Individual
HEATHER JEAN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12828 HERITAGE APT 101, PLYMOUTH, MI 48170-2933
(248) 275-9491
Mailing address
12828 HERITAGE APT 101, PLYMOUTH, MI 48170-2933
(248) 275-9491
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851116753
MI
1041C0700X
Clinical Social Worker
6851116753
MI
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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