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1184111999
STEPHEN L DAVIS
DAYTON, OH
NPI
1184111999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 140855)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
STEPHEN L DAVIS
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-522-0962
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Mailing Address
STEPHEN L DAVIS
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number:
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