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1750407011
MICHELLE ROBERTSON
DETROIT, MI
NPI
1750407011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- MICHELLE ROBERTSON FAODP
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
-- MICHELLE ROBERTSON FAODP
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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