Individual
MRS. ELLEN ODESSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
4411 ROSEMONT DR, COLUMBUS, GA 31904-5634
(706) 327-0279
(706) 327-5294
Mailing address
5 CRANSTON CT, COLUMBUS, GA 31907-2801
(706) 562-9784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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