Gabrielle L Durocher-Radeka, LMSW
Social Worker in Novi, MI. Individual provider (NPI-1).
NPI number1083171987
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1083171987
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle L Durocher-Radeka
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2019
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 6801114448 | MI | Yes |
Practice location
39465 W 14 Mile RdNovi, MI 48377-1600
Phone 877-906-9699 · Fax 888-483-0118
Mailing address
5360 Oslund RdMancelona, MI 49659-8020
Phone 413-446-9699
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All 58 Social Worker providers in Novi · All 8,418 providers in Novi
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