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1730962077
MARY W DAVIS
WINSTON SALEM, NC
NPI
1730962077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 28443)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
MARY W DAVIS LCAS-A
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-725-8389
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Mailing Address
MARY W DAVIS LCAS-A
3340 WILITON WAY
HIGH POINT, NC 27260-5983
Phone number: 336-883-5551
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