RICHARD DAVIS

WALDORF, MD
NPI1104370865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: DC  CACII1201)
Enumeration Date2016-08-11
Last Update Date2016-08-11
Business Address
MR. RICHARD DAVIS CAC II, NCAC I
3485 PROMENADE PL APT 101
WALDORF, MD 20603-7280
Phone number: 301-848-6074
Mailing Address
MR. RICHARD DAVIS CAC II, NCAC I
3485 PROMENADE PL APT 101
WALDORF, MD 20603-7280
Phone number: 301-848-6074
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