ANSEL FABIAN DAVIDSON

DETROIT, MI
NPI1255434593
Other NameANSEL FABIAN DAVIDSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-09-05
Last Update Date2007-07-08
Business Address
Mr. ANSEL FABIAN DAVIDSON Addiction therapist
4646 JOHN R ST
DETROIT, MI 48201
Phone number: 313-576-1000
Mailing Address
Mr. ANSEL FABIAN DAVIDSON Addiction therapist
5791 BALFOUR
DETROIT, MI 48224
Phone number: 313-576-1000