Individual
MS. CARRISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
BLDG 36065 590 MEDICAL CENTER RD., 3RD FLOOR, RM 33-133, FORT CAVAZOS, TX 76544
(254) 553-0998
Mailing address
2408 TRAVERSE DR, KILLEEN, TX 76543-8007
(575) 430-3987
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111665
TX
104100000X
Social Worker
SWB-2024-0651
NM
Other
Enumeration date
09/26/2022
Last updated
12/31/2024
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