Individual
MAISHA RONEAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 SUGAR PLUM ST, HOUMA, LA 70364-4470
(985) 381-2258
Mailing address
327 SUGAR PLUM ST, HOUMA, LA 70364-4470
(985) 381-2258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3509
LA
Other
Enumeration date
12/23/2014
Last updated
03/13/2024
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