Individual
BETHANY NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSBS, LMFT-CANDIDATE
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
283 NE CREEKSIDE DR, ELGIN, OK 73538-5021
(270) 307-4698
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OK
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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