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1922356625
LATISHIA RAE DAVIS
KERNERSVILLE, NC
NPI
1922356625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 8671)
Enumeration Date
2012-08-28
Last Update Date
2013-12-19
Business Address
-- LATISHIA RAE DAVIS NCC, LPC
118 S CHERRY ST STE D
KERNERSVILLE, NC 27284-2764
Phone number: 336-618-6021
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Mailing Address
-- LATISHIA RAE DAVIS NCC, LPC
118 S CHERRY ST
KERNERSVILLE, NC 27284-2023
Phone number: 336-618-6021
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