Individual
AMANDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 44TH AVE N STE 100, MYRTLE BEACH, SC 29577-5780
(843) 430-9882
Mailing address
906 MOUNT GILEAD RD, MURRELLS INLET, SC 29576-7716
(843) 430-9882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7859
SC
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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