Individual
CANDACE MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10525 N MCKINLEY AVE, OKLAHOMA CITY, OK 73114-5117
(405) 301-3279
Mailing address
10525 N MCKINLEY AVE, OKLAHOMA CITY, OK 73114-5117
(405) 301-3279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/18/2012
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