MR. Gary S Davis

NPI #1336435718 in Fort Defiance, Arizona

Provider Information

NPI Number: 1336435718
Entity Type: Individual
Name: MR. Gary S Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Art Therapist
Enumeration Date: Jun 23, 2011
Last Updated: Jul 11, 2011

Practice Location

Address: CORNER OF ROUTE N12 AND N7
City: Fort Defiance
State: Arizona
ZIP Code: 86504-0649
Phone: (928) 729-3741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Art Therapist	221700000X	Primary

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