Individual
MRS. LISA G DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
102 E GAMBIER ST, MOUNT VERNON, OH 43050-3510
(740) 392-5416
Mailing address
8038 MARION RD, NEWARK, OH 43055-9527
(740) 745-2091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1100503
OH
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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