Individual
GWENDOLYN YVETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PHD
Contact information
Practice address
1300 W LEHIGH AVE, PHILADELPHIA, PA 19132-2760
(215) 226-8800
Mailing address
2405 N 53RD ST, PHILADELPHIA, PA 19131-2421
(215) 868-3729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018437
PA
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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