Individual
ANSEL ADAM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 CHARING CROSS RD, SOUTH DENNIS, MA 02660-2913
(774) 208-8469
Mailing address
27 CHARING CROSS RD, SOUTH DENNIS, MA 02660-2913
(774) 208-8469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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