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1982616363
LAD JOSEPH VIDERGAR
DETROIT, MI
NPI
1982616363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301003401)
Enumeration Date
2006-08-13
Last Update Date
2007-07-13
Business Address
Dr. LAD JOSEPH VIDERGAR Ph.D.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
Dr. LAD JOSEPH VIDERGAR Ph.D.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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