Individual
ALLISON CERISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1456
Mailing address
479 MOODY ST APT 16, WALTHAM, MA 02453-0469
(617) 867-3423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MA
Other
Enumeration date
09/30/2013
Last updated
03/15/2024
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