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Organization
JESSIE DAVIS, LLC
Active
Organization
JESSIE DAVIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE DAVIS LCSW-C (THERAPIST)
(301) 606-2858
Entity
Organization
Contact information
Practice address
103 E 2ND ST APT 3, FREDERICK, MD 21701-7200
(301) 606-2858
Mailing address
103 E 2ND ST APT 3, FREDERICK, MD 21701-7200
(301) 606-2858
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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