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1053439737
GERALDINE ETELLA DAVIS
DETROIT, MI
NPI
1053439737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-27
Last Update Date
2007-07-09
Business Address
Ms. GERALDINE ETELLA DAVIS B.S.
3840 FAIRVIEW ST.
DETROIT, MI 48214
Phone number: 313-331-8990
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Mailing Address
Ms. GERALDINE ETELLA DAVIS B.S.
2047 CHARLTON ST APT 101
ANN ARBOR, MI 48103-3953
Phone number: 734-997-9214
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