Susan Rena Davis

NPI #1053604769 in Monticello, Arkansas

Provider Information

NPI Number: 1053604769
Entity Type: Individual
Name: Susan Rena Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 27, 2011
Last Updated: May 27, 2011

Practice Location

Address: 1371 HIGHWAY 278 W
City: Monticello
State: Arkansas
ZIP Code: 71655-9663
Phone: (870) 367-2143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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