Individual
LEVONNE DONNIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA,SW
Contact information
Practice address
3506 GRATIOT AVE, DETROIT, MI 48207-1830
(313) 887-6761
Mailing address
15478 SPRING GARDEN ST, DETROIT, MI 48205-3527
(313) 839-6746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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