Individual
LAQUONNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, CSC-AD
Contact information
Practice address
6525 N CHARLES ST, TOWSON, MD 21204-6872
(410) 296-2232
Mailing address
243 ATTENBOROUGH DR APT 202, ROSEDALE, MD 21237-4981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8526
MD
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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