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Individual

ANNEBELLE VERETTE DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, RSST

Contact information

Practice address
13560 E MCNICHOLS RD, DETROIT, MI 48205-3426
(313) 451-3425
(313) 451-3425
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
(313) 894-1274

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
68030886267
MI
171R00000X
Interpreter
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326416876
MI
Enumeration date
01/08/2015
Last updated
02/25/2019
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