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1174261887
PRICE BRODERICK ZIMMER
RICHMOND, MI
NPI
1174261887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-23
Last Update Date
2022-06-27
Business Address
PRICE BRODERICK ZIMMER
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone number: 810-392-2167
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Mailing Address
PRICE BRODERICK ZIMMER
42 CRANFORD LN
GROSSE POINTE, MI 48230-1515
Phone number: 313-418-9211
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