Individual
CANDACE ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, LLPC
Contact information
Practice address
1090 N 10TH ST STE 110, KALAMAZOO, MI 49009-5733
(269) 375-4363
Mailing address
1090 N 10TH ST STE 110, KALAMAZOO, MI 49009-5733
(269) 375-4363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018432
MI
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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