Individual
MR. STANLEY BERNARD DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
141 MCDONALD CT, MYRTLE BEACH, SC 29588-6134
(843) 294-0646
Mailing address
8061 PLEASANT POINT LN, MYRTLE BEACH, SC 29579-4169
(313) 402-6039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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