Individual
DONA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 20TH AVE APT 8, LONGVIEW, WA 98632-3664
(360) 575-1017
Mailing address
1619 20TH AVE APT 8, LONGVIEW, WA 98632-3664
(360) 575-1017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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