Individual
JESSICA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
530 BEACON PKWY W STE 401, BIRMINGHAM, AL 35209-3196
(205) 986-9130
Mailing address
1204 45TH ST W, BIRMINGHAM, AL 35208-1806
(205) 335-5252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4034C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154845782
NPI
AL
Enumeration date
07/26/2017
Last updated
08/15/2019
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