Individual
LACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13825 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-2310
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-2211
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3909
AL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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