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Individual

CLIFFORD DEAN CONRAD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
216 CASS ST, TRAVERSE CITY, MI 49684-2507
(517) 749-7870
Mailing address
217 ROSAMOND ST, LANSING, MI 48912-2023
(517) 749-7870

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004665
MI

Other

Enumeration date
09/12/2008
Last updated
09/12/2008
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