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1255397527
PATRICK K FAIRCLOTH
CLINTON TWP, MI
NPI
1255397527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401009534)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
Mr. PATRICK K FAIRCLOTH MA. LLPC
15945 CANAL RD
CLINTON TWP, MI 48038-1610
Phone number: 586-416-2300
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Mailing Address
Mr. PATRICK K FAIRCLOTH MA. LLPC
22926 RAYMOND ST
SAINT CLAIR SHORES, MI 48082-1717
Phone number: 586-293-1422
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