Individual
MARLO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 TWIN BRIDGES RD APT 80, ALEXANDRIA, LA 71303-2072
(318) 374-9138
Mailing address
920 TWIN BRIDGES RD APT 80, ALEXANDRIA, LA 71303-2072
(318) 374-9138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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