TAQUEZ DAVIS

MILLVILLE, NJ
NPI1982155792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  D09217328307962)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
-- TAQUEZ DAVIS
136 S 3RD ST
MILLVILLE, NJ 08332-5301
Phone number: 803-806-2596
Mailing Address
-- TAQUEZ DAVIS
136 S 3RD ST
MILLVILLE, NJ 08332-5301
Phone number:
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