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1891829446
FREDERICK W LADD
DETROIT, MI
NPI
1891829446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 6803004563)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- FREDERICK W LADD
1075 BURNS ST
DETROIT, MI 48214-4300
Phone number: 313-922-2222
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Mailing Address
-- FREDERICK W LADD
1075 BURNS ST
DETROIT, MI 48214-4300
Phone number: 313-922-2222
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