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1902200454
DAVID SCOTT
DETROIT, MI
NPI
1902200454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
-- DAVID SCOTT BA
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
-- DAVID SCOTT BA
7479 TROUTWOOD DR APT 1B
GRAND BLANC, MI 48439-7507
Phone number: 810-620-4780
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