Individual
MS. CASSONDRA ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
100 SCHOOL DR, HUACHUCA CITY, AZ 85616
(520) 456-9842
(520) 456-9811
Mailing address
1041 OCOTILLO DR, SIERRA VISTA, AZ 85635
(520) 458-3254
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615718
—
AZ
Enumeration date
10/19/2006
Last updated
07/26/2007
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