NICOLE DAVIS

VIDALIA, LA
NPI1538510151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: LA  1358510151)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-06-24
Last Update Date2018-06-01
Business Address
NICOLE DAVIS
4012 CARTER ST
VIDALIA, LA 71373
Phone number: 601-597-6058
Mailing Address
NICOLE DAVIS
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number: 601-597-6058