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1215418983
JOHN THOMAS DAVIS
WORCESTER, MA
NPI
1215418983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 119237)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
JOHN THOMAS DAVIS LICSW
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-740-2940
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Mailing Address
JOHN THOMAS DAVIS LICSW
148 WOOD ST APT 4
LEXINGTON, MA 02421-6454
Phone number: 505-934-4478
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