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1720332596
MARVIN HENRY DAVIDSON
SOUTHFIELD, MI
NPI
1720332596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801000454)
Enumeration Date
2012-11-01
Last Update Date
2012-11-01
Business Address
Mr. MARVIN HENRY DAVIDSON LMSW
16001 W 9 MILE RD PROVIDENCE HOSPITAL
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-2096
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Mailing Address
Mr. MARVIN HENRY DAVIDSON LMSW
14250 MANHATTAN ST
OAK PARK, MI 48237-1170
Phone number: 248-548-1642
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