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1811387970
PHYLLIS DAVIS
SAGINAW, MI
NPI
1811387970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI MCBAP Devpment Plan)
Enumeration Date
2015-01-28
Last Update Date
2015-01-28
Business Address
-- PHYLLIS DAVIS RAC
128 NORTH WEADOCK
SAGINAW, MI 48607
Phone number: 989-754-8598
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Mailing Address
-- PHYLLIS DAVIS RAC
128 NORTH WEADOCK
SAGINAW, MI 48607
Phone number: 989-754-8598
Copy
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