Individual
MS. SALLY M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CISW
Contact information
Practice address
12033 AGENCY RD, # 730, PARKER, AZ 85344-7718
(928) 669-3256
(928) 669-3252
Mailing address
1075 CATALINA DR, LAKE HAVASU CITY, AZ 86403-3007
(928) 554-2010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW6801064488
AZ
Other
Enumeration date
09/27/2006
Last updated
11/17/2010
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