RICHARD ANDREW DAVIS

WAUKEGAN, IL
NPI1003545112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-06-06
Last Update Date2022-06-06
Business Address
RICHARD ANDREW DAVIS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-3257
Mailing Address
RICHARD ANDREW DAVIS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 630-707-3970
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