MICHEL ANGELO LONG

DETROIT, MI
NPI1588822902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-06-02
Last Update Date2008-06-02
Business Address
Mr. MICHEL ANGELO LONG
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
Mailing Address
Mr. MICHEL ANGELO LONG
11721 MINOCK ST
DETROIT, MI 48228-1378
Phone number: 313-974-9766
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