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Individual

MICHAEL D DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
205 E 11TH ST STE LL8, VANCOUVER, WA 98660-3311
(360) 600-1375
Mailing address
205 E 11TH ST STE LL4, VANCOUVER, WA 98660-3311
(360) 600-1375

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
60790068
WA
1041C0700X
Clinical Social Worker
Primary
LW61180278
WA
1041C0700X
Clinical Social Worker
SC60790068
WA

Other

Enumeration date
11/06/2019
Last updated
07/17/2024
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