Individual
MISTY P DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 KEEN ST, BURKESVILLE, KY 42717-7682
(606) 679-4782
Mailing address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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