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1801441092
TIMOTHY R CHITWOOD
DETROIT, MI
NPI
1801441092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-05
Last Update Date
2024-05-28
Business Address
TIMOTHY R CHITWOOD CADC
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
TIMOTHY R CHITWOOD CADC
15122 UNIVERSITY ST
ALLEN PARK, MI 48101-3023
Phone number: 734-828-3621
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