Individual
DR. KIMBERLY DIANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, PHD
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(410) 271-0919
(888) 705-1555
Mailing address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(410) 271-0919
(888) 705-1555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/23/2021
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