Individual
SUSAN M. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
113 MAIN AVE E, ROLLA, ND 58367
(701) 477-8272
(701) 477-8281
Mailing address
PO BOX 650, DEVILS LAKE, ND 58301-0650
(701) 477-8272
(701) 477-8281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1382
ND
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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