Mr. Gideon A Davis
Mr. Gideon A Davis is a Counselor in Roxbury, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
520 Dudley StRoxbury, MA 02119-2769
Phone: (617) 334-4309
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1538447651 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2011 |
| Last updated in NPPES | July 22, 2011 |
| Mailing address | 751 Truman Pkwy, Hyde Park, MA 02136-3536 |
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