Individual
ED DEYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 W RIDGE ST, MARQUETTE, MI 49855-3997
(906) 228-6545
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
(906) 228-9699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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