Individual
DEBORAH O'DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 EXCELSIOR BLVD, SUITE W505, ST LOUIS PARK, MN 55426-4705
(952) 993-6200
Mailing address
6490 EXCELSIOR BLVD, SUITE W505, ST LOUIS PARK, MN 55426-4705
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R1158582
MN
Other
Enumeration date
12/30/2005
Last updated
11/02/2015
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