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1568544823
MICHELLE DOEDEMA
BUFFALO, NY
NPI
1568544823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE DOEDEMA
3297 BAILEY AVE
BUFFALO, NY 14215-1139
Phone number: 716-833-3622
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Mailing Address
Ms. MICHELLE DOEDEMA
3020 BAILEY AVENUE
BUFFALO, NY 14215
Phone number: 716-831-1800
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