Individual
MS. DIANA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1151 S ROGERS ST, SUITE 7 & 8, CLARKSVILLE, AR 72830-9158
(479) 754-5511
(479) 754-5545
Mailing address
2036 SKYLINE DR, RUSSELLVILLE, AR 72802-8611
(479) 968-7998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P9407018
AR
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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