TRACY DAVIS

VIDALIA, LA
NPI1851842413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-10-19
Last Update Date2021-07-23
Business Address
TRACY DAVIS
1644 CARTER ST # B SUITE 2
VIDALIA, LA 71373-3143
Phone number: 318-414-3065
Mailing Address
TRACY DAVIS
5 VICTORIA CT
NATCHEZ, MS 39120-9362
Phone number: 318-414-3065
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