ILYA V DAVIDOVICH

MONROE, MI
NPI1790128494
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801087558)
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
-- ILYA V DAVIDOVICH LMSW
1001 S RAISINVILLE RD
MONROE, MI 48161-9754
Phone number: 734-384-0305
Mailing Address
-- ILYA V DAVIDOVICH LMSW
5875 S IVANHOE AVE
YPSILANTI, MI 48197-7113
Phone number: 734-484-9834
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