ANTHONY DOUGLAS

DETROIT, MI
NPI1376915181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
ANTHONY DOUGLAS
11068 CLOVERLAWN ST
DETROIT, MI 48204-1072
Phone number: 313-931-0107
Mailing Address
ANTHONY DOUGLAS
11068 CLOVERLAWN ST
DETROIT, MI 48204-1072
Phone number: 313-931-0107
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