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1104315951
ROBERT ALAN FARRELL
PLYMOUTH, MI
NPI
1104315951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
ROBERT ALAN FARRELL
575 S MAIN ST
PLYMOUTH, MI 48170-1778
Phone number: 734-451-7800
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Mailing Address
ROBERT ALAN FARRELL
575 S MAIN ST
PLYMOUTH, MI 48170-1778
Phone number: 734-451-7800
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