Individual
MRS. ALICIA RAYE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
(918) 494-9870
Mailing address
15802 S ELWOOD AVE, GLENPOOL, OK 74033-4808
(918) 906-9994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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