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1851933741
THEODORE HEATON
ANN ARBOR, MI
NPI
1851933741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
THEODORE HEATON
315 N MAIN ST
ANN ARBOR, MI 48104-1133
Phone number: 734-821-0216
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Mailing Address
THEODORE HEATON
6633 STONY CREEK RD
YPSILANTI, MI 48197-6609
Phone number: 734-485-8725
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