OTHA DAVIS

CLARKSDALE, MS
NPI1215218466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-09-01
Last Update Date2011-09-01
Business Address
Mr. OTHA DAVIS MSW
1742 CHERYL ST
CLARKSDALE, MS 38614-7218
Phone number: 662-627-7267
Mailing Address
Mr. OTHA DAVIS MSW
PO BOX 1046
CLARKSDALE, MS 38614-1046
Phone number: 662-627-7267
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