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1891093399
JORDAN M. BRACISZEWSKI
DETROIT, MI
NPI
1891093399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301016725)
Enumeration Date
2011-03-08
Last Update Date
2018-03-28
Business Address
JORDAN M. BRACISZEWSKI Ph.D.
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-2600
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Mailing Address
JORDAN M. BRACISZEWSKI Ph.D.
50 HEALTH LN
WARWICK, RI 02886-2711
Phone number: 401-732-5656
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