Individual
MS. MICHELE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2035 MESQUITE AVE STE E, LAKE HAVASU CITY, AZ 86403-5894
(928) 680-0090
Mailing address
7279 E CONESTOGA WAY, PRESCOTT VALLEY, AZ 86314-5182
(928) 680-0090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
781
AK
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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