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1497032551
BEVERLY JILES STURDIVANT
DETROIT, MI
NPI
1497032551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 1-04803)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
Ms. BEVERLY JILES STURDIVANT CADC
2755 COLLINGWOOD ST
DETROIT, MI 48206-1476
Phone number: 313-646-1863
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Mailing Address
Ms. BEVERLY JILES STURDIVANT CADC
2755 COLLINGWOOD ST
DETROIT, MI 48206-1476
Phone number: 313-646-1863
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