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Amanda Jeanne Davidson
Methadone Clinic in Gloucester, Massachusetts
NPI 1013479708

Amanda Jeanne Davidson is a Methadone Clinic based in Gloucester, MA and is specialized in Methadone. Amanda Jeanne Davidson practices in Gloucester, MA. The NPI Number for Amanda Jeanne Davidson is 1013479708 and holds a License No. (Massachusetts).

The current practice location address for Amanda Jeanne Davidson is 23 Duncan St, Gloucester, MA and can be reached out via phone at 781-990-9090.

Location: 23 Duncan St, Gloucester, MA, 01930-6001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013479708
Provider Name
Amanda Jeanne Davidson
Credential
Provider Entity Type
Individual
Gender
Female
Address
23 Duncan St, Gloucester, MA, 01930-6001
Phone Number
781-990-9090
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23 Duncan St
City
Gloucester
State
Massachusetts
Zip
01930-6001
Phone Number
781-990-9090
Fax Number
person
Provider Business Mailing Address Details
Address
23 Duncan St
City
Gloucester
State
Massachusetts
Zip
01930-6001
Phone Number
781-990-9090
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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