Most Relevant Information
Provider Data
| NPI Number: | 1003664897 |
| Provider Name: | JULIE DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2024 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
7203 PERRY CT E
BROOKLYN CENTER
MN
554291202
Practice Location Phone/Fax
| Phone: | 6125400643 |
| Fax: |
Provider Mailing Location
7203 PERRY CT E
BROOKLYN CENTER
MN
554291202
Provider Mailing Phone/Fax
| Phone: | 6519834328 |
| Fax: |