Individual
PATRICIA GORDON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ISW
Contact information
Practice address
28 W FLAGLER ST, SUITE 300, MIAMI, FL 33130-1806
(305) 349-1337
Mailing address
28 W FLAGLER ST, SUITE 300, MIAMI, FL 33130-1806
(305) 349-1337
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
ISW6114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4660
FLORIDA CERTIFICATION BOARD
FL
01
—
ISW6114
FLORIDA DOH
FL
Enumeration date
09/28/2006
Last updated
02/14/2012
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