Individual
DR. CAROLE JOAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
28 HEAVRIN CT, BALTIMORE, MD 21236
(410) 529-4523
Mailing address
28 HEAVRIN COURT, BALTIMORE, MD 21236
(410) 529-4523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS000203L
PA
Other
Enumeration date
06/26/2007
Last updated
07/10/2007
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