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1346374287
MICHAEL NEVILLS
DETROIT, MI
NPI
1346374287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- MICHAEL NEVILLS CAC-1
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
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Mailing Address
-- MICHAEL NEVILLS CAC-1
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
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