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1548464779
ALICE VIRGINIA DURDEN
DETROIT, MI
NPI
1548464779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- ALICE VIRGINIA DURDEN BSW,ACC
3737 LAWTON ST
DETROIT, MI 48208-2500
Phone number: 313-361-6136
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Mailing Address
-- ALICE VIRGINIA DURDEN BSW,ACC
1920 CHENE CT APT 203
DETROIT, MI 48207-4984
Phone number: 313-361-6136
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