Individual
MR. ANTHONY L DAVISON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA. ED., CAGS
Contact information
Practice address
251 W 2ND ST, GRAND CHAIN, IL 62941-3404
(618) 634-9800
(618) 634-9864
Mailing address
251 W 2ND ST, GRAND CHAIN, IL 62941-3404
(618) 634-9800
(618) 634-9864
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1191856
IL
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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