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1730481201
DENNIS IRVINE
DETROIT, MI
NPI
1730481201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-03
Last Update Date
2010-12-03
Business Address
-- DENNIS IRVINE
9600 DEXTER AVE
DETROIT, MI 48206-1816
Phone number: 313-894-4875
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Mailing Address
-- DENNIS IRVINE
9600 DEXTER AVE
DETROIT, MI 48206-1816
Phone number: 313-894-4875
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