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Individual
IKE LENARD DAVIS JR.
Active
Individual
IKE LENARD DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18224
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/23/2022
Last updated
12/18/2024
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