Individual
DONTRELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S COLLEGE RD, STE 100, LAFAYETTE, LA 70503-3212
(337) 205-6073
Mailing address
315 S COLLEGE RD, STE 100, LAFAYETTE, LA 70503-3212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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