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1598970717
MICHAEL KEVIN RILEY
DETROIT, MI
NPI
1598970717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
MR. MICHAEL KEVIN RILEY FAODP
2081 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-895-0500
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Mailing Address
MR. MICHAEL KEVIN RILEY FAODP
1991 EDISON ST
DETROIT, MI 48206-2040
Phone number: 313-865-3595
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