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1891868600
GERALD BRUCE MARSHALL
FARMINGTON HILLS, MI
NPI
1891868600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801066461)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- GERALD BRUCE MARSHALL
28119 GRAND DUKE DR
FARMINGTON HILLS, MI 48334-5218
Phone number: 248-476-2229
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Mailing Address
-- GERALD BRUCE MARSHALL
28119 GRAND DUKE DR
FARMINGTON HILLS, MI 48334-5218
Phone number: 248-476-2229
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