Individual
MS. COURTNEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 W TRIMBLE AVE, BERRYVILLE, AR 72616-4601
(870) 480-4640
(870) 480-4640
Mailing address
PO BOX 925, BERRYVILLE, AR 72616-0925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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