Individual
MS. STEFANIE JANELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
8000 CORPORATE CENTER DR, 212, CHARLOTTE, NC 28226-4464
(704) 441-4941
Mailing address
8000 CORPORATE CENTER DR, 212, CHARLOTTE, NC 28226-4464
(704) 441-4941
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10040
NC
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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