Individual
COURTNEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 PUTNEY RD, VALLEY STREAM, NY 11580-1818
(770) 853-0646
Mailing address
4804 INGLEWOOD CT SE, OWENS CROSS ROADS, AL 35763-9172
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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