Individual
TAWANA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
227 MILL ST, SPRINGFIELD, MA 01108-1007
(413) 747-9071
(413) 747-9075
Mailing address
227 MILL ST, SPRINGFIELD, MA 01108-1007
(413) 747-9071
(413) 747-9075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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