TIMOTHY NELSON

DETROIT, MI
NPI1679976443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
-- TIMOTHY NELSON
12684 SUSSEX ST
DETROIT, MI 48227-2116
Phone number: 313-471-0572
Mailing Address
-- TIMOTHY NELSON
12684 SUSSEX ST
DETROIT, MI 48227-2116
Phone number: 313-471-0572
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