ANGELIQUE GABRIELLE PROM

ANN ARBOR, MI
NPI1295460632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801110748)
Enumeration Date2022-07-20
Last Update Date2022-07-20
Business Address
MRS. ANGELIQUE GABRIELLE PROM LMSW- CLINICAL
2215 FULLER RD
ANN ARBOR, MI 48105-2303
Phone number: 734-769-7100
Mailing Address
MRS. ANGELIQUE GABRIELLE PROM LMSW- CLINICAL
5261 PRAIRIE VW
BRIGHTON, MI 48116-9752
Phone number: 734-915-4001