RANDALL GARDNER AILES

HASTINGS, MI
NPI1407124670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801014389)
Enumeration Date2011-12-02
Last Update Date2011-12-02
Business Address
MR. RANDALL GARDNER AILES MA, LMSW, LPC
1425 S HANOVER ST
HASTINGS, MI 49058-2544
Phone number: 269-929-7784
Mailing Address
MR. RANDALL GARDNER AILES MA, LMSW, LPC
1425 S HANOVER ST
HASTINGS, MI 49058-2544
Phone number: 269-929-7784