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Larry Warren Davis JR.
Mental Health Counselor in Waterford, Michigan
NPI 1831673946

Larry Warren Davis JR. is a Mental Health Counselor based in Waterford, MI and is specialized in Mental Health. Larry Warren Davis JR. practices in Waterford, MI. The NPI Number for Larry Warren Davis JR. is 1831673946 and holds a License No. 6401013764 (Michigan).

The current practice location address for Larry Warren Davis JR. is 1255 N Oakland Blvd, Waterford, MI and can be reached out via phone at 248-599-8999.

Location: 1255 N Oakland Blvd, Waterford, MI, 48327-1545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831673946
Provider Name
Larry Warren Davis JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1255 N Oakland Blvd, Waterford, MI, 48327-1545
Phone Number
248-599-8999
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401013764 05 MI
institution
Provider Business Practice Location Address Details
Address
1255 N Oakland Blvd
City
Waterford
State
Michigan
Zip
48327-1545
Phone Number
248-599-8999
Fax Number
person
Provider Business Mailing Address Details
Address
1255 N Oakland Blvd
City
Waterford
State
Michigan
Zip
48327-1545
Phone Number
248-599-8999
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401013764 (Michigan)
Definition
Definition to come...
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