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1386090405
BRIAN DAVIS
COLUMBIA, MD
NPI
1386090405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 21303)
Enumeration Date
2016-05-07
Last Update Date
2017-02-12
Business Address
-- BRIAN DAVIS LGSW
7360 GRACE DR
COLUMBIA, MD 21044-2470
Phone number: 443-425-6937
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Mailing Address
-- BRIAN DAVIS LGSW
408 WINSTON AVE
BALTIMORE, MD 21212-4428
Phone number: 443-425-6937
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