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Organization
N DAVIS COUNSELING
Active
Organization
N DAVIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILI ELANA DAVIS LCSW (MANAGER)
(617) 459-5159
Entity
Organization
Contact information
Practice address
3901 N 39TH AVE, HOLLYWOOD, FL 33021-1807
(786) 353-5372
Mailing address
3901 N 39TH AVE, HOLLYWOOD, FL 33021-1807
(617) 459-5159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639343437
NPI
FL
Enumeration date
10/06/2020
Last updated
10/06/2020
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