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1972617090
ANTHONY DAVIS
DETROIT, MI
NPI
1972617090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 101YA0400X)
Enumeration Date
2006-08-18
Last Update Date
2024-10-06
Business Address
-- ANTHONY DAVIS AAS CAC-1
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
-- ANTHONY DAVIS AAS CAC-1
1356 HIGHNOON DRIVE
WINDSOR, ONTARIO N9G2X2
Phone number: 519-972-5575
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