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1841675584
FREDRICK WORTHEM
SOUTHFIELD, MI
NPI
1841675584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301016011)
Enumeration Date
2015-07-23
Last Update Date
2015-07-23
Business Address
-- FREDRICK WORTHEM TLLP
28475 GREENFIELD RD SUITE 207
SOUTHFIELD, MI 48076-3034
Phone number: 248-424-9778
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Mailing Address
-- FREDRICK WORTHEM TLLP
28475 GREENFIELD RD SUITE 207
SOUTHFIELD, MI 48076-3034
Phone number: 248-424-9778
Copy
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