Individual
MR. MARC ROBERT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
701 DECATUR AVE N, SUITE 109, GOLDEN VALLEY, MN 55427-4367
(763) 746-2401
Mailing address
13010 GIRARD AVE S, BURNSVILLE, MN 55337-2406
(952) 223-1200
(952) 223-1200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1542
MN
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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