Individual
TERESA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
71 CAVALIER BLVD STE 303, FLORENCE, KY 41042-5172
(859) 282-0204
Mailing address
11019 LOWER RIVER RD, UNION, KY 41091-9757
(859) 512-1594
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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