Individual
MARTHA ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3744 28TH ST SE, GRAND RAPIDS, MI 49512-1802
(616) 466-7708
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014279
MI
Other
Enumeration date
06/23/2014
Last updated
12/23/2022
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