Individual
MARTHA KAREN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1014 MAIN ST, CONWAY, AR 72032-5426
(501) 336-0511
(501) 336-4037
Mailing address
1014 MAIN ST, CONWAY, AR 72032-5426
(501) 336-0511
(501) 336-4037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1407099
AR
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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