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1891483277
WAYNE BROCKWAY
KALAMAZOO, MI
NPI
1891483277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
Mr. WAYNE BROCKWAY CCJP-M
1701 OLMSTEAD RD
KALAMAZOO, MI 49048-3343
Phone number: 269-383-2204
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Mailing Address
Mr. WAYNE BROCKWAY CCJP-M
1701 OLMSTEAD RD
KALAMAZOO, MI 49048-3343
Phone number:
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