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Individual

MRS. AMY W DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
711 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5193
(910) 222-6413
(910) 678-9963
Mailing address
674 GLENOLA ST, FAYETTEVILLE, NC 28311-3210
(910) 482-4338

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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