Individual
SCHENETTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C
Contact information
Practice address
98 N FRONT ST, NEW BEDFORD, MA 02740-7327
(508) 408-6172
Mailing address
98 N FRONT ST, NEW BEDFORD, MA 02740-7327
(508) 408-6172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
MA
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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