KATHLEEN J DAVIDSON

PLYMOUTH, IN
NPI1679980619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001530A)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- KATHLEEN J DAVIDSON LCAC
322 W JEFFERSON ST
PLYMOUTH, IN 46563-1734
Phone number: 574-936-3377
Mailing Address
-- KATHLEEN J DAVIDSON LCAC
8495 E 150 S
KNOX, IN 46534-8396
Phone number: 219-928-1944
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