Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801105745 | MI |
NPI | 1003420753 |
---|---|
Provider Name | Lindsay Gaskin |
First Address | Van Buren Twp, MI 48111-7405 |
Second Address | Detroit, MI 48228-8200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2020 |
Last Update Date | 01/09/2020 |