Individual
AMY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8420 DELMAR BLVD STE 300, SAINT LOUIS, MO 63124-2178
(314) 852-8552
Mailing address
8420 DELMAR BLVD STE 300, SAINT LOUIS, MO 63124-2178
(314) 852-8552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001009452
MO
101YP2500X
Professional Counselor
5741
CO
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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