Individual
KAREN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
582C FARRINGDOM ST, LUMBERTON, NC 28358-2615
(910) 735-1101
(910) 735-1103
Mailing address
582C FARRINGDOM ST, LUMBERTON, NC 28358-2615
(910) 735-1101
(910) 735-1103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10621
NC
235Z00000X
Speech-Language Pathologist
SLP005365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000961683D
—
GA
Enumeration date
12/05/2006
Last updated
11/25/2013
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