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1164534467
TRACY ALLAN ARCHER
BAY CITY, MI
NPI
1164534467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 090073)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. TRACY ALLAN ARCHER B.A.
515 ADAMS ST
BAY CITY, MI 48708-5830
Phone number: 989-894-2991
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Mailing Address
Mr. TRACY ALLAN ARCHER B.A.
903 E FLORENCE ST APT 2
BAY CITY, MI 48706-4896
Phone number: 989-714-6710
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