DAVID LEE ALBERTA

CALEDONIA, MI
NPI1902350341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  6801096595)
Enumeration Date2016-08-14
Last Update Date2016-08-14
Business Address
-- DAVID LEE ALBERTA LLMSW
9499 TIGER LILY DR SE
CALEDONIA, MI 49316-8083
Phone number: 616-891-2141
Mailing Address
-- DAVID LEE ALBERTA LLMSW
9499 TIGER LILY DR SE
CALEDONIA, MI 49316-8083
Phone number: 616-891-2141
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