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1215218466
OTHA DAVIS
CLARKSDALE, MS
NPI
1215218466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
MR. OTHA DAVIS MSW
1742 CHERYL ST
CLARKSDALE, MS 38614-7218
Phone number: 662-627-7267
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Mailing Address
MR. OTHA DAVIS MSW
PO BOX 1046
CLARKSDALE, MS 38614-1046
Phone number: 662-627-7267
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