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MS. ELAINE MARY DAVIDSON LVN

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1023144763

Individual Registrant:
MS. ELAINE MARY DAVIDSON LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
143 DAWN CIR  GALT, CA 95632-2607 US
Tel: 209-745-9044  Fax: --

Contact information for business:
143 DAWN CIR  GALT, CA 95632-2607 US
Tel: 209-745-9044  Fax: --

Registration Information:
NPI: 1023144763
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CAVN141423

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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