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1124573258
ALAN JACOB THAIN
TROY, MI
NPI
1124573258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: MI 6301016758)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
Mr. ALAN JACOB THAIN
1777 AXTELL DR #100
TROY, MI 48084-4404
Phone number: 248-613-5377
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Mailing Address
Mr. ALAN JACOB THAIN
508 E HUDSON AVE
ROYAL OAK, MI 48067-3350
Phone number: 414-336-8997
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