CARLOS BAXTER MARINO

DETROIT, MI
NPI1376793042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  1-03543)
Enumeration Date2008-09-30
Last Update Date2008-09-30
Business Address
Mr. CARLOS BAXTER MARINO CAC-M
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
Mailing Address
Mr. CARLOS BAXTER MARINO CAC-M
13575 LESURE ST
DETROIT, MI 48227-3131
Phone number: 313-493-4410
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