Individual
KIA A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 JACKSON ST, MONROE, LA 71202-2030
(318) 512-2857
Mailing address
1610 JACKSON ST, MONROE, LA 71202-2030
(318) 512-2857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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