Individual
DEBRA V DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 CARDLEY AVE STE 2, MEDFORD, OR 97504-6289
(561) 596-4455
Mailing address
445 S 5TH ST, JACKSONVILLE, OR 97530-9775
(561) 596-4455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22221
FL
Other
Enumeration date
01/04/2024
Last updated
08/14/2026
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