STEPHEN MARK DAVIS

PHILADELPHIA, PA
NPI1659843233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
STEPHEN MARK DAVIS
112 N BROAD ST
PHILADELPHIA, PA 19102-1512
Phone number: 121-556-8086
Mailing Address
STEPHEN MARK DAVIS
112 N BROAD ST
PHILADELPHIA, PA 19102-1512
Phone number: 121-556-8086
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