Individual
LINDA JANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Contact information
Practice address
1107 BREWTON LOVETT RD, DUBLIN, GA 31027-3299
(478) 278-1898
Mailing address
1107 BREWTON LOVETT RD, DUBLIN, GA 31027-3299
(478) 278-1898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC007025
GA
1041C0700X
Clinical Social Worker
Primary
CSW005997
GA
Other
Enumeration date
07/16/2013
Last updated
08/16/2020
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