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1336858539
CHARLES WILLIAM MIRIANI
SOUTHFIELD, MI
NPI
1336858539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
CHARLES WILLIAM MIRIANI
29451 GREENFIELD RD
SOUTHFIELD, MI 48076-2251
Phone number: 248-978-9826
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Mailing Address
CHARLES WILLIAM MIRIANI
3816 CHENLOT
WATERFORD, MI 48328-4303
Phone number: 248-978-9826
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