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Individual

ALEXANDRIA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Mailing address
2226 RODNEY AVE, COUNCIL BLUFFS, IA 51503-0468

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9451
NE
106H00000X
Marriage & Family Therapist
39
NE

Other

Enumeration date
08/24/2011
Last updated
08/24/2011
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