Individual
MR. PHILIP G DAVIDSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
327 W 21ST STREET, SUITE 205, NORFOLK, VA 23517
(757) 622-9852
(757) 622-4033
Mailing address
327 W 21ST STREET, SUITE 205, NORFOLK, VA 23517
(757) 622-9852
(757) 622-4033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904000380
VA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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