TERESA R DAVIS

MARION, IN
NPI1699866830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  C 043780)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
-- TERESA R DAVIS CRC
1700 E 38TH ST
MARION, IN 46953-4568
Phone number: 765-674-3321
Mailing Address
-- TERESA R DAVIS CRC
2506 W 800 S
WARREN, IN 46792-9258
Phone number: 260-468-2446
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