WILLIAM ROBERT DAVIS

GRASS VALLEY, CA
NPI1679060230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1362390919)
Enumeration Date2018-04-19
Last Update Date2019-09-11
Business Address
WILLIAM ROBERT DAVIS RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
Mailing Address
WILLIAM ROBERT DAVIS RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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