Individual
LAURA J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 E SLOCUM ST, PHILADELPHIA, PA 19150-3122
(215) 990-6667
Mailing address
1149 E SLOCUM ST, PHILADELPHIA, PA 19150
(215) 990-6667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW134248
PA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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