Individual
ROSALYN DONZETTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII, MAT
Contact information
Practice address
105 COLLEGE CT, FORT VALLEY, GA 31030-4402
(478) 293-8503
Mailing address
36 MALCOLM CT, BYRON, GA 31008-5849
(770) 601-5719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCII1323
GA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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