SAMUEL DONALDSON

DETROIT, MI
NPI1992152185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
-- SAMUEL DONALDSON
4479 CONCORD ST
DETROIT, MI 48207-1908
Phone number: 313-727-3382
Mailing Address
-- SAMUEL DONALDSON
4479 CONCORD ST
DETROIT, MI 48207-1908
Phone number:
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