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1013571199
DARRIN GORDON
DETROIT, MI
NPI
1013571199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI M-00308)
Enumeration Date
2019-04-24
Last Update Date
2019-06-11
Business Address
Mr. DARRIN GORDON CPRC
2081 W GRAND BLVD
DETROIT, MI 48208-1196
Phone number: 313-895-0500
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Mailing Address
Mr. DARRIN GORDON CPRC
2081 W GRAND BLVD
DETROIT, MI 48208-1196
Phone number: 313-895-0500
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