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Individual

ALEXA DALE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
702 N MAIN ST, SUITE C, HARRISON, AR 72601-2900
(870) 741-2658
(870) 741-2722
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-6520

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
08-11P
AR

Other

Enumeration date
08/11/2008
Last updated
08/11/2008
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