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1114125200
RUSSELL LEE DORE
NORTHVILLE, MI
NPI
1114125200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301001278)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Mr. RUSSELL LEE DORE EdD, LP
215 E MAIN ST #201
NORTHVILLE, MI 48167-1681
Phone number: 248-348-1100
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Mailing Address
Mr. RUSSELL LEE DORE EdD, LP
215 E MAIN ST #201
NORTHVILLE, MI 48167-1681
Phone number: 248-348-1100
Copy
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