ANDREW C DAVIDSON

PORTLAND, IN
NPI1972986958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-07-08
Last Update Date2015-07-08
Business Address
-- ANDREW C DAVIDSON
610 W ARCH ST
PORTLAND, IN 47371-1319
Phone number: 260-251-0947
Mailing Address
-- ANDREW C DAVIDSON
610 W ARCH ST
PORTLAND, IN 47371-1319
Phone number: 260-251-0947
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