Individual
MS. MICAH DAVOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-4500
Mailing address
1741 ASHLAND AVE STE 642, BALTIMORE, MD 21205-1531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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