Individual
DIANE F. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1722 S GLENSTONE AVE STE TT, SPRINGFIELD, MO 65804-1517
(417) 881-2848
Mailing address
6770 E COUNTY LINE RD, ROGERSVILLE, MO 65742-8166
(417) 753-3363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MO
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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