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1295367225
KIA A DAVIS
MONROE, LA
NPI
1295367225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
KIA A DAVIS
1610 JACKSON ST
MONROE, LA 71202-2030
Phone number: 318-512-2857
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Mailing Address
KIA A DAVIS
1610 JACKSON ST
MONROE, LA 71202-2030
Phone number: 318-512-2857
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