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Individual

DONALD JOHN DUFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, CACI

Contact information

Practice address
13249 PENNSYLVANIA RD, RIVERVIEW, MI 48193-6637
(734) 250-8056
Mailing address
16889 CLUB DR, SOUTHGATE, MI 48195-6510
(248) 227-9725

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401005915
MI

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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