Individual
BRIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
7360 GRACE DR, COLUMBIA, MD 21044-2470
(443) 425-6937
Mailing address
408 WINSTON AVE, BALTIMORE, MD 21212-4428
(443) 425-6937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21303
MD
Other
Enumeration date
05/07/2016
Last updated
02/12/2017
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