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Individual

VERNON CARR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
25945 W 7 MILE RD, REDFORD, MI 48240-1808
(313) 535-6560
Mailing address
11336 INKSTER RD, REDFORD, MI 48239-2338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/21/2017
Last updated
06/21/2017
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