MILES ERNEST DAVISON

ROANOKE, VA
NPI1154838290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904010320)
Enumeration Date2018-01-10
Last Update Date2018-01-10
Business Address
MILES ERNEST DAVISON LCSW
1719 GRANDIN RD SW
ROANOKE, VA 24015-2815
Phone number: 215-840-5034
Mailing Address
MILES ERNEST DAVISON LCSW
2049 WINDSOR AVE SW APT 4
ROANOKE, VA 24015-2331
Phone number: 215-840-5034
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