Individual
MR. WILLIAM GARRETT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
980 MIDDLE COUNTRY RD, RIDGE, NY 11961-2812
(631) 205-0762
Mailing address
980 MIDDLE COUNTRY ROAD, RIDGE, NY 11961-2812
(631) 205-0762
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000788
NY
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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