Individual
CHARLOTTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSRS
Contact information
Practice address
4149 HIGHLINE BLVD, SUITE 400, OKLAHOMA CITY, OK 73108-2103
(405) 949-1000
Mailing address
PO BOX 48, MEAD, OK 73449-0048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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