Individual
MS. ELIZABETH DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,LCADC
Contact information
Practice address
323 MAIN ST, METUCHEN, NJ 08840-2476
(732) 902-2181
Mailing address
323 MAIN ST, METUCHEN, NJ 08840-2476
(732) 902-2181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00126500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04767800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065417DM3
MEDICARE ID
NJ
Enumeration date
02/01/2006
Last updated
04/04/2016
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