Individual
GEORGE BRUCE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 S MAIN ST, PLYMOUTH, MI 48170-1637
(734) 495-4055
Mailing address
271 S MAIN ST, PLYMOUTH, MI 48170-1637
(734) 495-4055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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