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1700274990
RISA DAVIS
BALTIMORE, MD
NPI
1700274990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-12-23
Last Update Date
2015-01-06
Business Address
-- RISA DAVIS BA, ADT
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone number: 410-366-1717
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Mailing Address
-- RISA DAVIS BA, ADT
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone number: 410-366-1717
Copy
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