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1497163646
JACK GRENAN
FARMINGTON HILLS, MI
NPI
1497163646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103T00000X Psychologist
(Licence: MI 6301014679)
Enumeration Date
2014-07-31
Last Update Date
2019-09-19
Business Address
JACK GRENAN
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Phone number: 248-299-0030
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Mailing Address
JACK GRENAN
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5326
Phone number: 248-299-0030
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