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1982945226
JEFFREY WAYNE DAVIS
AUSTIN, TX
NPI
1982945226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11727)
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
Mr. JEFFREY WAYNE DAVIS LCDC
3625 MANCHACA RD SUITE 202
AUSTIN, TX 78704-6631
Phone number: 512-850-7736
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Mailing Address
Mr. JEFFREY WAYNE DAVIS LCDC
4524 SPEEDWAY
AUSTIN, TX 78751-3009
Phone number: 512-850-7736
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