Individual
MISS CAROLYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LSW
Contact information
Practice address
4050 EXECUTIVE PARK DR, SUITE 404, CINCINNATI, OH 45241-2089
(513) 381-6300
Mailing address
3048 HACKBERRY ST, APT. 2, CINCINNATI, OH 45206-1410
(513) 961-3283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E - 0001341,
OH
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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