Gayle Walls-Brown PLLC
Community/Behavioral Health in Southfield, MI. Organization (NPI-2).
NPI number1861692824
StatusActive
Last updated in NPPESJul 18, 2007
Details
- NPI
- 1861692824
- Entity type
- Organization (NPI-2)
- Legal business name
- Gayle Walls-Brown PLLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2007
- Last updated
- Jul 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6801080183 | MI | Yes |
Practice location
20700 Civic Center Dr170
Southfield, MI 48076-4140
Phone 313-610-5711
Mailing address
19670 Chesterfield RdDetroit, MI 48221-1831
Phone 313-610-5711
Authorized official
Gayle Elaine Walls-Brown
Clinical Therapist
3136105711
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