Individual
MRS. CARLA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 869-3042
Mailing address
2667 HIGHWAY 145, SALTILLO, MS 38866-9771
(662) 869-3042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0450
MS
Other
Enumeration date
01/05/2011
Last updated
11/23/2011
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