Individual
CHRISTINA FAULKNER DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 IRON WAY, BALTIMORE, MD 21208-1208
(410) 935-4253
Mailing address
609 IRON WAY, BALTIMORE, MD 21208-1208
(410) 935-4253
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1378173
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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