Individual
DONNA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT, CSAT
Contact information
Practice address
5950 FAIRVIEW RD STE 603, CHARLOTTE, NC 28210-3113
(704) 333-3341
Mailing address
5950 FAIRVIEW RD STE 603, CHARLOTTE, NC 28210-3113
(704) 333-3341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
215
NC
106H00000X
Marriage & Family Therapist
Primary
392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27532
BLUE CROSS PIN
NC
Enumeration date
04/17/2007
Last updated
01/22/2019
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