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1831511997
COLLEEN FAIRCLOUGH
DETROIT, MI
NPI
1831511997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-09
Last Update Date
2014-01-09
Business Address
-- COLLEEN FAIRCLOUGH MEd, RN, CPSS
24424 W MCNICHOLS RD
DETROIT, MI 48219-3653
Phone number: 313-255-0900
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Mailing Address
-- COLLEEN FAIRCLOUGH MEd, RN, CPSS
24424 W MCNICHOLS RD
DETROIT, MI 48219-3653
Phone number: 313-255-0900
Copy
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