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1811082878
JOEL FREDRIC KORTGE
GRAND BLANC, MI
NPI
1811082878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301009397)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- JOEL FREDRIC KORTGE
10785 S SAGINAW ST STE. A., BLDG. E
GRAND BLANC, MI 48439-7003
Phone number: 810-695-0055
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Mailing Address
-- JOEL FREDRIC KORTGE
5086 OLD COVE RD
CLARKSTON, MI 48346-3817
Phone number: 248-623-4834
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