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Individual

GREGORY BEDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
1267 MAPLE AVE, MONROE, MI 48162-3004

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401017030
MI
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401013114
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401017030
MI

Other

Enumeration date
04/01/2016
Last updated
02/22/2022
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