Individual
DIANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 WILLARD AVE SE, WARREN, OH 44484-5061
(330) 675-8700
Mailing address
2020 WILLARD AVE SE, WARREN, OH 44484-5061
(330) 675-8700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3357
OH
Other
Enumeration date
04/09/2014
Last updated
04/15/2015
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