Individual
DIANA BEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LLC
Contact information
Practice address
755 MAIN ST, MONROE, CT 06468-2830
(203) 244-8786
Mailing address
36 MALLORY HILL RD, RIDGEFIELD, CT 06877-6301
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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