Individual
LAURA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4366 CODDLE CREEK DR, CONCORD, NC 28027-8570
(704) 488-6258
Mailing address
4366 CODDLE CREEK DR, CONCORD, NC 28027-8570
(704) 488-6258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465335400
—
NC
Enumeration date
04/09/2014
Last updated
04/09/2014
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