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Individual

ROBERT ALAN DEBEAUCLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Mailing address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009557
MI

Other

Enumeration date
04/20/2009
Last updated
05/10/2017
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