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Individual

MRS. MARTAY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
Mailing address
1565 W TOWNSHIP LINE RD, BLUE BELL, PA 19422-3572
(267) 751-9939

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001174
PA

Other

Enumeration date
05/13/2014
Last updated
05/13/2014
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