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1730639659
THERESA DAVIS
VIDALIA, LA
NPI
1730639659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- THERESA DAVIS
1644 CARTER ST # B SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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Mailing Address
-- THERESA DAVIS
1644 CARTER ST # B SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
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