Provider Information for 1679293484
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MOLLY DAVIS LCSW
Sex: Female
NPI: 1679293484
Last Updated: 2022-08-31
Certification Date: 2022-08-30
Certification Date: 2022-08-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679293484 | ||||||||
| Enumeration Date | 2022-08-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 671 KIRBYVILLE, TX 75956-0671 United States Phone: 409-382-3471 | Fax: | ||||||||
| Primary Practice Address | 3830 FM 82 E CALL, TX 75933 United States Phone: 409-382-3471 | Fax: | ||||||||
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