Individual
LIANE M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
(918) 426-5526
Mailing address
1801 S PEACEABLE RD, APT. 2, MCALESTER, OK 74501-7298
(918) 470-2639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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