Individual
DEBORAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 MAIN ST, SUITE 403, PHILADELPHIA, PA 19127-1623
(215) 487-3100
Mailing address
4100 MAIN ST, SUITE 403, PHILADELPHIA, PA 19127-1623
(215) 487-3100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW002080L
PA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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