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Organization
JANE DAVIS LISENCED CLINICAL SOCIAL WORKER PROFESSIONAL PSYCHOTHERAPY
Active
Organization
JANE DAVIS LISENCED CLINICAL SOCIAL WORKER PROFESSIONAL PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE CHRISTINE GRAHAM DAVIS LCSW (PRESIDENT)
(213) 915-4024
Entity
Organization
Contact information
Practice address
732 W 9TH ST, SAN PEDRO, CA 90731-3634
(213) 915-4024
Mailing address
1732 AVIATION BLVD # 122, REDONDO BEACH, CA 90278-2810
(213) 915-4024
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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