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1679743389
RICHARD WAYNE WOOTEN
SOUTHGATE, MI
NPI
1679743389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301013219)
Enumeration Date
2008-03-10
Last Update Date
2008-03-10
Business Address
RICHARD WAYNE WOOTEN M.A.
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7701
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Mailing Address
RICHARD WAYNE WOOTEN M.A.
5429 ORCHARD AVE
DEARBORN, MI 48126-3052
Phone number: 313-779-8400
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