Individual
ARCHIE DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6005 NEW FOREST CT, APT. 6, WALDORF, MD 20603-4743
(301) 932-9052
Mailing address
6005 NEW FOREST CT., APT.6, WALDORF, MD 20603
(301) 932-9052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13982
MD
104100000X
Social Worker
Primary
LG50078801
DC
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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