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Search › Ohio › 171M00000X

Brian Davis

NPI 1013528991 · on the registry since 2020 · sole proprietor

Practice

Address
714 E Main St
Trotwood, OH 45426
Phone
(254) 577-0733
Organisation at this address
Clean Slate Sober Living
Clean Slate Sober Living
Clean Slate Sober Living
Clean Slate Sober Living, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio