ALONZO FULTON HOVER

DETROIT, MI
NPI1922125400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Mr. ALONZO FULTON HOVER CAC1
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
Mailing Address
Mr. ALONZO FULTON HOVER CAC1
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
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