Individual
MRS. LAURA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 MANCHESTER AVE, MIDDLETOWN, OH 45042-1925
(513) 881-7189
Mailing address
1131 MANCHESTER AVE, MIDDLETOWN, OH 45042-1925
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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