BRIAN DOMINIC

BOYNE FALLS, MI
NPI1942968540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2021-12-01
Last Update Date2021-12-01
Business Address
BRIAN DOMINIC CADC-DP
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713-9684
Phone number: 231-535-2822
Mailing Address
BRIAN DOMINIC CADC-DP
2329 CENTER ST
BOYNE FALLS, MI 49713-9268
Phone number: 231-535-2822
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