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Individual
MARANDA JO DAVIS
Active
Individual
MARANDA JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2011
KS
101YP2500X
Professional Counselor
Primary
LPC.0011442
CO
Other
Enumeration date
09/15/2008
Last updated
08/03/2015
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