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Individual
MRS. SRLESTINE T DAVIS
Active
Individual
MRS. SRLESTINE T DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,LPC,CSC,CI
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
GRADES EC-12
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
6979
TX
101YP2500X
Professional Counselor
Primary
65349
TX
Other
Enumeration date
06/26/2012
Last updated
12/09/2014
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