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1629637962
VICTOR IP
DETROIT, MI
NPI
1629637962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6362010047)
Enumeration Date
2019-06-11
Last Update Date
2025-01-16
Business Address
VICTOR IP
7375 WOODWARD AVE STE 2800
DETROIT, MI 48202-3157
Phone number: 313-710-8744
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Mailing Address
VICTOR IP
7375 WOODWARD AVE STE 2800
DETROIT, MI 48202-3157
Phone number: 313-710-8744
Copy
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