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1477683183
DERRICK ROOSEVELT BLEDSOE
DETROIT, MI
NPI
1477683183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- DERRICK ROOSEVELT BLEDSOE CAC-1
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
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Mailing Address
-- DERRICK ROOSEVELT BLEDSOE CAC-1
13731 ALLONBY ST
DETROIT, MI 48227-3031
Phone number: 313-493-4410
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