Individual
ANNE-LAURE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GEORGE P HASSETT DR, MEDFORD, MA 02155-3258
(781) 393-4828
Mailing address
100 GEORGE P HASSETT DR, MEDFORD, MA 02155-3258
(781) 393-4828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
09/28/2018
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