MANDA J DAVIS

BENTONVILLE, AR
NPI1346679636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR  365L)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
-- MANDA J DAVIS LADAC,BCC
1002 SE C ST
BENTONVILLE, AR 72712-6327
Phone number: 479-271-2120
Mailing Address
-- MANDA J DAVIS LADAC,BCC
1002 SE C ST
BENTONVILLE, AR 72712-6327
Phone number: 479-271-2120