Individual
MRS. LAUREN DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 SHARON DR, DOUGLASSVILLE, PA 19518-9509
(570) 657-6527
Mailing address
20 SHARON DR, DOUGLASSVILLE, PA 19518-9509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9747
PA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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