Individual
MR. JEFFREY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
32 HUNTING RIDGE FARMS RD, BRANFORD, CT 06405-6131
(203) 525-3513
Mailing address
32 HUNTING RIDGE FARMS RD, BRANFORD, CT 06405-6131
(203) 525-3513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009112
CT
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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