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Individual

GREGORY JAN MCBRIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1455 S LAPEER RD, 175 NORTH, LAKE ORION, MI 48360-1467
(248) 393-5555
Mailing address
730 AUTUMN VALLEY DR, ORTONVILLE, MI 48462-8313
(586) 764-0812

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002079
MI

Other

Enumeration date
05/16/2016
Last updated
05/16/2016
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