Individual
DR. WALLACE TERRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3316 BENYARD DR, MOBILE, AL 36619-4312
(251) 421-7652
Mailing address
3316 BENYARD DR, MOBILE, AL 36619-4312
(251) 421-7652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
192
AL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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