BRENT DAVISON

GLOUCESTER, MA
NPI1679631527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  101369)
Enumeration Date2006-12-04
Last Update Date2018-07-24
Business Address
Mr. BRENT DAVISON LICSW
92 PROSPECT ST
GLOUCESTER, MA 01930
Phone number: 617-605-2279
Mailing Address
Mr. BRENT DAVISON LICSW
92 PROSPECT ST
GLOUCESTER, MA 01930-3710
Phone number: 617-605-2279
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