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1366734048
VENUS MACON-DICKERSON
DETROIT, MI
NPI
1366734048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 1-04821)
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
-- VENUS MACON-DICKERSON CADC-M
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
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Mailing Address
-- VENUS MACON-DICKERSON CADC-M
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
Copy
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