Individual
ANTHONY LOUIS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-1
Contact information
Practice address
4880 LAWNDALE ST, DETROIT, MI 48210-2010
(313) 846-6030
Mailing address
4880 LAWNDALE ST, DETROIT, MI 48210-2010
(313) 846-6030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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