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1942464904
FRED G. DAVIS
JACKSON, MS
NPI
1942464904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MS 1340)
Enumeration Date
2008-07-17
Last Update Date
2008-07-17
Business Address
Mr. FRED G. DAVIS LPC
431 N STATE ST
JACKSON, MS 39201-1108
Phone number: 601-949-1949
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Mailing Address
Mr. FRED G. DAVIS LPC
1 WATERFORD PL
JACKSON, MS 39211-2900
Phone number: 601-624-2300
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