Individual
MARQUISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
165 W 800 S, SALT LAKE CITY, UT 84101-2906
(385) 226-7378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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