Individual
EVAN T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1190 CHARLES ST, NORTH PROVIDENCE, RI 02904-3572
(914) 258-1841
Mailing address
1190 CHARLES ST, NORTH PROVIDENCE, RI 02904-3572
(914) 258-1841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW04029
RI
Other
Enumeration date
06/22/2022
Last updated
03/28/2025
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