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1265718787
ANTHONY LOUIS DAVIS
DETROIT, MI
NPI
1265718787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-10-28
Last Update Date
2011-10-28
Business Address
-- ANTHONY LOUIS DAVIS CADC-1
4880 LAWNDALE ST
DETROIT, MI 48210-2010
Phone number: 313-846-6030
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Mailing Address
-- ANTHONY LOUIS DAVIS CADC-1
4880 LAWNDALE ST
DETROIT, MI 48210-2010
Phone number: 313-846-6030
Copy
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