Individual
IRA ROBERT DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO60937157
Contact information
Practice address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4650
(509) 477-4646
Mailing address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4650
(509) 477-4646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60937157
WA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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