MR. BRENT DAVISON, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1679631527
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 101369 (MA) |
Frequently Asked Questions
NPI 1679631527 is the National Provider Identifier for MR. BRENT DAVISON, LICSW, a Social Worker - Clinical provider located in Gloucester, MA. This NPI was enumerated on December 4, 2006.
MR. BRENT DAVISON, LICSW practices at 92 PROSPECT ST, Gloucester, MA 01930.
Quick Facts
- NPI
- 1679631527
- Type
- Individual
- Enumerated
- Dec 4, 2006
- Last Updated
- Jul 24, 2018
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