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1689033458
KENNETH DAVIS
LIVONIA, MI
NPI
1689033458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- KENNETH DAVIS
33505 SCHOOLCRAFT RD STE 3
LIVONIA, MI 48150-1536
Phone number: 734-793-0033
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Mailing Address
-- KENNETH DAVIS
33505 SCHOOLCRAFT RD STE 3
LIVONIA, MI 48150-1536
Phone number: 734-793-0033
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