Individual
AMANDA LANAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
(704) 376-7180
(704) 531-9266
Mailing address
769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
(704) 376-7180
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017053
NC
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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