Individual
FRED JOSEPH DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26650 EUREKA RD STE A, TAYLOR, MI 48180-4835
(313) 561-5100
Mailing address
50216 PAINE ST, CANTON, MI 48188-3332
(765) 431-0547
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6851118945
MI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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