Individual
MS. ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
2206 BULLIS RD, ELMA, NY 14059-9205
(716) 435-9611
Mailing address
2206 BULLIS RD, ELMA, NY 14059-9205
(716) 435-9611
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000884
NY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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