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Individual

MRS. CANDACE MARIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
8304 WALNUT GROVE RD, CORDOVA, TN 38018-6869
(901) 501-7700
(901) 424-9070
Mailing address
7627 MALONE RD, OLIVE BRANCH, MS 38654-6123
(901) 871-6919
(901) 424-9070

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/07/2024
Last updated
03/07/2024
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