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Organization

LOUISE DAVIS SUPPORT SERVICES INDUSTRY, INC.

Active
Other names
LOUISE DAVIS SUPPORT SERVICES INDUSTRY,
Organization subpart
No

Provider details

NPI number
Authorized official
SHAKILLA WILLIAMS (EXECUTIVE DIRECTOR)
(334) 357-9968
Entity
Organization

Contact information

Practice address
832 MCCASKILL RD, DICKINSON, AL 36436-3643
(334) 357-9968
Mailing address
PO BOX 296, FULTON, AL 36446-0296
(334) 357-9968

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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