Individual
LESLEE DANIELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2200 N PATTERSON ST STE D, VALDOSTA, GA 31602-2573
(229) 244-1707
Mailing address
359 BROOKFIELD RD, VALDOSTA, GA 31602-4029
(229) 251-8196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009285
GA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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