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1881714186
CLARENCE V POWELL
DETROIT, MI
NPI
1881714186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-30
Last Update Date
2012-12-19
Business Address
Mr. CLARENCE V POWELL
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
Mr. CLARENCE V POWELL
18436 WISCONSIN ST
DETROIT, MI 48221-2063
Phone number: 313-469-2064
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