Individual
LISA H DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308-5978
(623) 572-8053
Mailing address
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308-5978
(623) 572-8053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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