Individual
CAROLYN A.H. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
314 NIAGARA AVE, SHEBOYGAN, WI 53081-4128
(414) 731-8175
Mailing address
PO BOX 11425, SHOREWOOD, WI 53211-0425
(414) 731-8175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3396-226
WI
Other
Enumeration date
12/08/2016
Last updated
01/19/2017
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