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1609509694
LA TONYA NICOLE DAVISON
MARIETTA, GA
NPI
1609509694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA MSW010676)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
MS. LA TONYA NICOLE DAVISON LMSW
1343 TERRELL MILL RD SE STE 244
MARIETTA, GA 30067-9472
Phone number: 817-381-0598
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Mailing Address
MS. LA TONYA NICOLE DAVISON LMSW
1400 N STATE HIGHWAY 360 APT 3621
MANSFIELD, TX 76063-3565
Phone number: 817-682-6262
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