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1831673946
LARRY WARREN DAVIS
WATERFORD, MI
NPI
1831673946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401013764)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
LARRY WARREN DAVIS
1255 N OAKLAND BLVD
WATERFORD, MI 48327-1545
Phone number: 248-599-8999
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Mailing Address
LARRY WARREN DAVIS
1255 N OAKLAND BLVD
WATERFORD, MI 48327-1545
Phone number: 248-599-8999
Copy
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