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1861902884
NICHOLAS DEITRICH
BENTON HARBOR, MI
NPI
1861902884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401016143)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
NICHOLAS DEITRICH LLPC
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-982-0585
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Mailing Address
NICHOLAS DEITRICH LLPC
1485 M 139
BENTON HARBOR, MI 49022-5711
Phone number: 269-982-0585
Copy
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