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Individual
BARRY DWAYNE DAVIS
Active
Individual
BARRY DWAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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