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Constance C Gwynn, MSW

Social Worker, Clinical in Southfield, MI. Individual provider (NPI-1).

NPI number1144488024
StatusActive
Last updated in NPPESMay 28, 2008

Details

NPI
1144488024
Entity type
Individual (NPI-1)
Name
Constance C Gwynn
Credential
MSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2008
Last updated
May 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801087813MIYes

Practice location

17500 Northland Park Ct
Southfield, MI 48075-4324

Phone 248-757-2098 · Fax 248-757-2098

Mailing address

5390 Cambourne Pl
West Bloomfield, MI 48322-4101

Phone 313-258-2086 · Fax 248-757-2098

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