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1629302096
CHARLES A. TERRY
DETROIT, MI
NPI
1629302096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 820774)
Enumeration Date
2009-10-01
Last Update Date
2009-10-01
Business Address
Mr. CHARLES A. TERRY
1852 W GRAND BLVD
DETROIT, MI 48208
Phone number: 313-894-8444
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Mailing Address
Mr. CHARLES A. TERRY
1852 W GRAND BLVD
DETROIT, MI 48208
Phone number: 313-894-8444
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