Individual
MR. WALTER ECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14243 MINOCK, DETROIT, MI 48223
(313) 808-7616
Mailing address
14243 MINOCK ST, DETROIT, MI 48223-2826
(313) 808-7616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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