SHELBY QUALLS

DETROIT, MI
NPI1194847749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  820080)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Mr. SHELBY QUALLS CAC-1
8809 JOHN C LODGE
DETROIT, MI 48224
Phone number: 313-887-6737
Mailing Address
Mr. SHELBY QUALLS CAC-1
10520 MORANG DR
DETROIT, MI 48224-1840
Phone number: 313-640-8084
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