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1962945048
STEPHANIE DAVIS
VALDOSTA, GA
NPI
1962945048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC009298)
Enumeration Date
2016-11-22
Last Update Date
2016-11-22
Business Address
-- STEPHANIE DAVIS LPC
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602-5910
Phone number: 229-671-6170
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Mailing Address
-- STEPHANIE DAVIS LPC
914 WORTH AVE
VALDOSTA, GA 31602-7248
Phone number:
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