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1700955622
LON "MARK" DAVIS
WAYNESVILLE, MO
NPI
1700955622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2002020622)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- LON "MARK" DAVIS LPC, NCC
20157 SALINA RD.
WAYNESVILLE, MO 65583
Phone number: 573-528-3671
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Mailing Address
-- LON "MARK" DAVIS LPC, NCC
PO BOX 122
WAYNESVILLE, MO 65583-0122
Phone number: 573-528-3671
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