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1992821847
ADAM DAVID BLIZNICK
SOUTHGATE, MI
NPI
1992821847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 2-00861)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mr. ADAM DAVID BLIZNICK BA., CAC-II
13101 ALLEN RD SUITE 300
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7705
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Mailing Address
Mr. ADAM DAVID BLIZNICK BA., CAC-II
236 KINROSS AVE
CLAWSON, MI 48017-1420
Phone number: 248-435-6158
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