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1912257981
BRUCE DAVIS
SACO, ME
NPI
1912257981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ME LC15074)
Enumeration Date
2012-09-17
Last Update Date
2014-12-09
Business Address
BRUCE DAVIS LCSW
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
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Mailing Address
BRUCE DAVIS LCSW
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
Copy
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