Individual
MS. DAVENE ANN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
826 CAROLINE ST STE A, FREDERICKSBURG, VA 22401-5806
(202) 903-8303
Mailing address
2215 PLANK RD # 270, FREDERICKSBURG, VA 22401-5226
(540) 805-0066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009117
VA
1041C0700X
Clinical Social Worker
LC50079515
DC
Other
Enumeration date
10/04/2013
Last updated
02/24/2023
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