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1780291856
SONIA DENISE IVERSON
DETROIT, MI
NPI
1780291856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
SONIA DENISE IVERSON
2015 WEBB ST
DETROIT, MI 48206-1283
Phone number: 313-883-5614
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Mailing Address
SONIA DENISE IVERSON
2015 WEBB ST
DETROIT, MI 48206-1283
Phone number: 313-883-5614
Copy
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