Amanda Jeanne Davidson
NPI #1013479708 in Gloucester, Massachusetts
Provider Information
- NPI Number
- 1013479708
- Entity Type
- Individual
- Name
- Amanda Jeanne Davidson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Apr 2, 2019
Practice Location
- Address
- 23 DUNCAN ST
- City
- Gloucester
- State
- Massachusetts
- ZIP Code
- 01930-6001
- Phone
- (781) 990-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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