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1104030683
STANLEY BERNARD SLOAN
DETROIT, MI
NPI
1104030683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mr. STANLEY BERNARD SLOAN FOADP
2081 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-895-0500
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Mailing Address
Mr. STANLEY BERNARD SLOAN FOADP
15743 FORRER ST
DETROIT, MI 48227-2332
Phone number: 313-272-4845
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