Individual
SONIA DENISE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 WEBB ST, DETROIT, MI 48206-1283
(313) 883-5614
(313) 883-2659
Mailing address
2015 WEBB ST, DETROIT, MI 48206-1283
(313) 883-5614
(313) 883-2659
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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