CARLOS T LEAGUE

DETROIT, MI
NPI1578818837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  developmentplan)
Enumeration Date2012-07-23
Last Update Date2012-07-23
Business Address
-- CARLOS T LEAGUE
445 LEDYARD ST
DETROIT, MI 48201-2641
Phone number: 313-962-9446
Mailing Address
-- CARLOS T LEAGUE
445 LEDYARD ST
DETROIT, MI 48201-2641
Phone number: 313-962-9446
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