Individual
CARLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 NW 141ST ST, VANCOUVER, WA 98685-1389
(623) 694-0021
Mailing address
810 NW 141ST ST, VANCOUVER, WA 98685-1389
(623) 694-0021
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1179754
NC
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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