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1003631433
FRED JOSEPH DURHAM
TAYLOR, MI
NPI
1003631433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MI 6851118945)
Enumeration Date
2024-11-20
Last Update Date
2024-11-20
Business Address
FRED JOSEPH DURHAM
26650 EUREKA RD STE A
TAYLOR, MI 48180-4835
Phone number: 313-561-5100
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Mailing Address
FRED JOSEPH DURHAM
50216 PAINE ST
CANTON, MI 48188-3332
Phone number: 765-431-0547
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