Individual
ERICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 MAIN ST, WORCESTER, MA 01608-1604
(508) 791-4976
Mailing address
PO BOX 61, WARREN, MA 01083-0061
(774) 289-5271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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