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Individual

MRS. KRISTINE M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
412 CITICO ST, KNOXVILLE, TN 37921-5811
(865) 522-0661
(865) 522-3670
Mailing address
412 CITICO ST, KNOXVILLE, TN 37921-5811
(865) 522-0661
(865) 522-3670

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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