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Organization
TERRY E DAVIS LCSW LLC
Active
Organization
TERRY E DAVIS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY DAVIS LCSW (OWNER/MANAGER)
(954) 731-5505
Entity
Organization
Contact information
Practice address
2701 W OAKLAND PARK BLVD, 225C, OAKLAND PARK, FL 33311-1388
(954) 731-5505
(954) 731-5504
Mailing address
2701 W OAKLAND PARK BLVD, 225C, OAKLAND PARK, FL 33311-1388
(954) 731-5505
(954) 731-5504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10792
FL
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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