Individual
ASHANTE S DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 S.W. ARCHER ROAD, GAINESVILLE, FL 32608-2980
(352) 376-1611
Mailing address
6840 HUNDRED ACRE DR, COCOA, FL 32927-2980
(321) 747-7062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15576
FL
Other
Enumeration date
07/27/2018
Last updated
02/01/2021
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