Individual
LORIE N DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, LPC
Contact information
Practice address
74 LEGION POST LANE, MADISON, VA 22727
(540) 948-3372
Mailing address
PO BOX 1204, MADISON, VA 22727-1204
(540) 948-3372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004111
VA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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