Gayle Witham, | |
558 Winona Ave Nw, Grand Rapids, MI 49504-4740 | |
(616) 477-3404 | |
Not Available |
Full Name | Gayle Witham |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 558 Winona Ave Nw, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104330307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Bridges Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003454364 PECOS PAC ID: 1557792744 Enrollment ID: O20200501001946 |
Mailing Address | Practice Location Address |
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Gayle Witham, 558 Winona Ave Nw, Grand Rapids, MI 49504-4740 Ph: () - | Gayle Witham, 558 Winona Ave Nw, Grand Rapids, MI 49504-4740 Ph: (616) 477-3404 |
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