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Individual
VINCENT M. DAVIS
Active
Individual
VINCENT M. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP, LICSWA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60844073
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61367371
WA
1041C0700X
Clinical Social Worker
Primary
SC61417289
WA
Other
Enumeration date
10/10/2018
Last updated
08/13/2025
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