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1003459090
MICHAEL D DAVIDSON
YAKIMA, WA
NPI
1003459090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
MICHAEL D DAVIDSON SUDPT
201 E LINCOLN AVE STE 100
YAKIMA, WA 98901-2348
Phone number: 509-457-5653
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Mailing Address
MICHAEL D DAVIDSON SUDPT
201 E LINCOLN AVE STE 100
YAKIMA, WA 98901-2348
Phone number: 509-457-5653
Copy
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