Individual
MRS. LYNNETTA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4243 N 19TH ST, 4929 WFOND DU LAC AVE, MILWAUKEE, WI 53209-6829
(414) 871-6122
(414) 871-2552
Mailing address
4243 N 19TH ST, 4929 W FOND DU LAC AVE, MILWAUKEE, WI 53209-6829
(414) 871-6122
(414) 871-2552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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