Individual
CARL D DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 N MAIN ST, WINDSOR, MO 65360-1449
(660) 647-9921
(660) 647-3617
Mailing address
2701 STATION AVE, SEDALIA, MO 65301-6778
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2002030477
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498319300
—
MO
Enumeration date
07/14/2006
Last updated
07/08/2007
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