BRUCE WAYNE DAVIS

TACOMA, WA
NPI1578064895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60715316)
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
BRUCE WAYNE DAVIS
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-502-5416
Mailing Address
BRUCE WAYNE DAVIS
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-502-5416
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