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Individual

CONNIE DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1615 JOHNSON ST, JENNINGS, LA 70546
(337) 616-0225
Mailing address
1615 JOHNSON ST, JENNINGS, LA 70546-3650

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
11/25/2015
Last updated
07/20/2018
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