Individual
SHANIQUA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7075 GOLDEN OAKS LOOP W, SOUTHAVEN, MS 38671-9010
(662) 228-0130
Mailing address
605 PATTERSON ST APT 3, MEMPHIS, TN 38111-5854
(662) 688-3156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5117
MS
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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