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Individual
MRS. JODY DAVIS
Active
Individual
MRS. JODY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC01335700
NJ
1041C0700X
Clinical Social Worker
Primary
PR022336-1
NJ
106H00000X
Marriage & Family Therapist
37F100112500
NJ
Other
Enumeration date
04/24/2013
Last updated
03/26/2025
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