Individual
MS. GLORIA ANN PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19741 RUTHERFORD, DETROIT, MI 48235
(313) 729-2232
(313) 243-2128
Mailing address
19741 RUTHERFORD, DETROIT, MI 48235
(313) 729-2232
(313) 243-2128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401005370
MI
104100000X
Social Worker
6401005370
MI
106H00000X
Marriage & Family Therapist
6401005370
MI
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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