Most Relevant Information
Provider Data
| NPI Number: | 1003394503 |
| Provider Name: | LAWONDA MANETTE DAVIS MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2020037394 |
Most Important Dates
| Enumeration Date: | 08/06/2018 |
| Last Updated: | 10/09/2024 |
Provider Practice Location
13 RUNNING WATERS CT
WELDON SPRING
MO
633042413
Practice Location Phone/Fax
| Phone: | 6366990636 |
| Fax: |
Provider Mailing Location
13 RUNNING WATERS CT
WELDON SPRING
MO
633042413
Provider Mailing Phone/Fax
| Phone: | 6366990636 |
| Fax: |