Shane Davis
NPI #1164071379 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1164071379
- Entity Type
- Individual
- Name
- Shane Davis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Oct 3, 2019
Practice Location
- Address
- 4532 PLANK RD
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22407-0139
- Phone
- (804) 230-0999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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