Search › Michigan › 163W00000X
Gwendolyn Dewalt, RN, LBSW
NPI 1568611846 · on the registry since 2008
Practice
- Address
- 2761 E Jefferson Ave
Detroit, MI 48207 - Phone
- (313) 993-3964
- Fax
- (313) 993-1372
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan