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1508950338
LANCE DAVIS
ORION, MI
NPI
1508950338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801061341)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- LANCE DAVIS
2633 S LAPEER RD
ORION, MI 48360-2810
Phone number: 248-393-5555
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Mailing Address
-- LANCE DAVIS
650 4TH AVE
PONTIAC, MI 48340-2024
Phone number: 248-322-9569
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