Individual
MR. RICHARD E DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
59 RIVER ST, DOVER FOXCROFT, ME 04426-1322
(207) 564-7106
(207) 564-0881
Mailing address
PO BOX 380, DOVER FOXCROFT, ME 04426-0380
(207) 564-7106
(207) 564-0881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3864
ME
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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