Individual
MS. CAROL PATRICIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5626
(719) 338-2862
(719) 634-0482
Mailing address
PO BOX 13840, FT CARSON, CO 80913-0840
(719) 338-2862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NA
CO
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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