Individual
MRS. KIMBERLY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3914 21ST AVE, TEMPLE HILLS, MD 20748-4320
(757) 589-7677
Mailing address
3914 21ST AVENUE, TEMPLE HILLS, MD 20748
(757) 589-7677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14313
DC
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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