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1336545185
LISA M DAVIS
COLUMBIA, MD
NPI
1336545185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0735)
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
Ms. LISA M DAVIS CAC-AD
7121 COLUMBIA GATEWAY DRIVE
COLUMBIA, MD 21046
Phone number: 410-872-8753
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Mailing Address
Ms. LISA M DAVIS CAC-AD
8930 STANFORD BOULEVARD
COLUMBIA, MD 21045
Phone number: 410-313-6202
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