# CYNTHIA DAVIS, LISW, ACSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649337353
- **Authorized official:** MS. CYNTHIA MARIA DAVIS LISW, ACSW (OWNER)
- **Authorized official phone:** (803) 329-7778

## Contact information

- **Practice address:** 1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
- **Practice address phone:** (803) 329-7778
- **Practice address fax:** (803) 329-7843
- **Mailing address:** 1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
- **Mailing address phone:** (803) 329-7778
- **Mailing address fax:** (803) 329-7843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8404 | SC | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 02/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | QM0747 | — | SC |
