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1427255355
CHARLES CAPICCHIONI
SOUTHFIELD, MI
NPI
1427255355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MI 6301012712)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- CHARLES CAPICCHIONI M.A.L.L.P.
29260 FRANKLIN RD
SOUTHFIELD, MI 48034-1161
Phone number: 248-355-4300
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Mailing Address
-- CHARLES CAPICCHIONI M.A.L.L.P.
1251 HIDDEN HBR
WALLED LAKE, MI 48390-2111
Phone number: 248-470-9018
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