Individual
MS. KIMBLE DYNETTA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
(870) 772-5028
Mailing address
925 N WALKERS CORNER RD, SCOTT, AR 72142-9409
(870) 514-9088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005837
IL
Other
Enumeration date
12/29/2006
Last updated
03/15/2017
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