MARK HENDERSON DAVIS

FRIDLEY, MN
NPI1457786998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  3796)
Enumeration Date2013-09-03
Last Update Date2013-09-03
Business Address
MR. MARK HENDERSON DAVIS LICSW
5384 STREET NE COMMUNITY OPTIONS FRIDLEY
FRIDLEY, MN 55421
Phone number: 763-572-0004
Mailing Address
MR. MARK HENDERSON DAVIS LICSW
5384 STREET NE COMMUNITY OPTIONS FRIDLEY
FRIDLEY, MN 55421
Phone number: 763-572-0004
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