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Individual

CANDACE RENEE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1710 MOORES LN, TEXARKANA, TX 75503-1858
(903) 794-2705
Mailing address
1710 MOORES LN, TEXARKANA, TX 75503-1858
(903) 794-2705

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-125945
TX

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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