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1891188579
EDMUND WALDON
DETROIT, MI
NPI
1891188579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-05
Last Update Date
2015-03-05
Business Address
-- EDMUND WALDON
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
-- EDMUND WALDON
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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