Individual
MS. MARY CAROLE DAVIS'LIBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3500 VIRGINIA BEACH BLVD, SUITE 210 MARY C. DAVIS'LIBRE, LPC, VIRGINIA BEACH, VA 23452-4445
(757) 376-7121
(757) 416-5236
Mailing address
3500 VIRGINIA BEACH BLVD, SUITE 210 MARY C. DAVIS'LIBRE, LPC, VIRGINIA BEACH, VA 23452-4445
(757) 376-7121
(757) 416-5236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003407
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669593182
—
VA
Enumeration date
04/02/2007
Last updated
08/01/2008
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