Individual
MS. JUDITH ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-D
Contact information
Practice address
106 GALVIN ROAD, ABBOTSFORD, WI 54405
(715) 223-0480
(715) 223-1611
Mailing address
106 GALVIN RD., PO BOX 447, ABBOTSFORD, WI 54405
(715) 223-0480
(715) 223-1611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14808
WI
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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