Individual
TERRELLL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1737 BURNLEY DR, MARRERO, LA 70072-4521
(504) 428-8295
Mailing address
1737 BURNLEY DR, MARRERO, LA 70072-4521
(504) 428-8295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
06/16/2018
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