Tara Davis
NPI #1447867395 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1447867395
- Entity Type
- Individual
- Name
- Tara Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- Sep 24, 2020
- Last Updated
- Sep 24, 2020
Practice Location
- Address
- 4405 JUNE AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63121-3232
- Phone
- (314) 456-4284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Recovery Care — Recovery Care |
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