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Individual

CHARLENE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
680 NORTHLAND BLVD, CINCINNATI, OH 45240-3248
(513) 941-4999
Mailing address
505 BROTHERTON AVE, HOOVEN, OH 45033
(513) 446-7038

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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