Individual
MS. TARA BONICE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
225 W 1ST NORTH ST, SUIT 302, MORRISTOWN, TN 37814-4614
(423) 522-2168
Mailing address
1150 MCFARLAND ST, APT R-32, MORRISTOWN, TN 37814-3462
(865) 582-6218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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