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1811312713
ALLAN WILDER
DETROIT, MI
NPI
1811312713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-02-28
Last Update Date
2014-02-28
Business Address
ALLAN WILDER
19311 BRETTON DR
DETROIT, MI 48223-1203
Phone number: 313-831-3160
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Mailing Address
ALLAN WILDER
19311 BRETTON DR
DETROIT, MI 48223-1203
Phone number: 313-831-3160
Copy
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