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Individual

CHARME S. DAVIDSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D., ABPP

Contact information

Practice address
1409 WILLOW ST, SUITE 220, MINNEAPOLIS, MN 55403-2269
(612) 870-0510
(612) 870-4542
Mailing address
5401 PLEASANT AVE, MINNEAPOLIS, MN 55419-1846
(612) 825-2868
(612) 870-4542

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP2642
MN
106H00000X
Marriage & Family Therapist
Primary
MFT0245
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0245
MN MARRIAGE & FAM LIC #
MN
01
3962
ABPP #
MN
05
6275478000
MN
01
LP2642
MN PSYCHOLOGY LICENSE #
MN
Enumeration date
05/18/2006
Last updated
09/11/2025
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