ANTHONY JEROME ALLEN

DETROIT, MI
NPI1003023680
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  820202)
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
-- ANTHONY JEROME ALLEN AAS., CAC II
12010 LINWOOD ST
DETROIT, MI 48206-1108
Phone number: 313-867-1090
Mailing Address
-- ANTHONY JEROME ALLEN AAS., CAC II
5113 BANGOR ST
DETROIT, MI 48210-1760
Phone number: 313-867-1090
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