Individual
MIKALA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61336977
WA
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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