Provider Information for 1750561395
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Ms. EVA MELISSA GADD LMSW
Sex: Female
NPI: 1750561395
Last Updated: 2007-11-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1750561395 | ||||||||
| Enumeration Date | 2007-11-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 25214 W ROYCOURT HUNTINGTON WOODS, MI 48070-1742 United States Phone: 248-894-4417 | Fax: | ||||||||
| Primary Practice Address | 25214 W ROYCOURT HUNTINGTON WOODS, MI 48070-1742 United States Phone: 248-894-4417 | Fax: | ||||||||
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