Individual
CRYSTAL MARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ADNA RD, BRISTOL, CT 06010-2719
(860) 502-4481
Mailing address
15 ADNA RD, BRISTOL, CT 06010-2719
(860) 502-4481
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
C07011002543
CT
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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