Marisha S Davis
Marisha S Davis is a Prevention Professional in Brown Deer, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2021
Practice location Address checks out
5007 W Fairy Chasm CtBrown Deer, WI 53223-1406
Phone: (414) 595-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prevention Professional (primary) | Taxonomy 405300000X · Licence 3568832 (WI) |
|---|
Record details
| NPI number | 1902562101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 11, 2021 |
| Last updated in NPPES | November 11, 2021 |
| Certification date | November 11, 2021 |
| Mailing address | 5007 W Fairy Chasm Ct, Brown Deer, WI 53223-1406 |
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