Organization
AMY DAVIS LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY OLD DAVIS LPC (OWNER)
(314) 398-9036
Entity
Organization
Contact information
Practice address
8420 DELMAR BLVD, STE. 300, SAINT LOUIS, MO 63124-2170
(314) 398-9036
(314) 872-8871
Mailing address
8420 DELMAR BLVD, STE. 300, SAINT LOUIS, MO 63124-2170
(314) 398-9036
(314) 872-8871
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2001009452
MO
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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