IRA ROBERT DAVIS

SPOKANE, WA
NPI1619517786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60937157)
Enumeration Date2020-01-07
Last Update Date2020-01-07
Business Address
IRA ROBERT DAVIS CO60937157
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-477-4650
Mailing Address
IRA ROBERT DAVIS CO60937157
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-477-4650
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