Individual
MS. BENETTA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA LBSW
Contact information
Practice address
19401 NORTHLINE RD. BLGD. 5, THE GUIDANCE CENTER, SOUTHGATE, MI 48195
(734) 785-7718
Mailing address
1669 SAVANNAH CT, SUPERIOR TWP, MI 48198-3681
(734) 444-7591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802082868
MI
Other
Enumeration date
10/13/2006
Last updated
07/24/2015
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