Individual
LEONA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8295 TOURNAMENT DR STE 150, MEMPHIS, TN 38125-8900
(866) 563-7772
Mailing address
2715 CHERRY RD APT 2405, MEMPHIS, TN 38118-2982
(785) 430-3323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
BSW0000001094
TN
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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