Individual
JOSEPH CLINTON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 OLIVE ST, SHREVEPORT, LA 71104-2312
(318) 446-4141
(318) 446-4141
Mailing address
589 UNADILLA ST, SHREVEPORT, LA 71106-1239
(318) 446-4141
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#4948
LA
171M00000X
Case Manager/Care Coordinator
#4948
LA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/19/2009
Last updated
07/21/2022
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