Individual
LISA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
Mailing address
101 N SHORE DR APT 17, SOUTH HAVEN, MI 49090-1170
(512) 202-7764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016265
MI
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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