Individual
MS. SUSAN K DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
5 ORLEANS DR, SUITE 2, HATTIESBURG, MS 39402-8675
(601) 818-0167
Mailing address
9A HEARTWOOD PLACE, HATTIESBURG, MS 39402
(601) 818-0167
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0440
MS
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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