Individual
FANIKI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 W MAPLE ST, SHREVEPORT, LA 71109-2332
(318) 638-4512
Mailing address
2930 W MAPLE ST, SHREVEPORT, LA 71109-2332
(318) 638-4512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
08/28/2023
About Stedi
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