Individual
MS. AZIZI JOHARI DAEMA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW,MS.ED
Contact information
Practice address
96 EDGEWORTH ST, VALLEY STREAM, NY 11581-3236
(516) 872-1831
Mailing address
96 EDGEWORTH ST, VALLEY STREAM, NY 11581-3236
(516) 872-1831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080988-1
NY
Other
Enumeration date
09/25/2010
Last updated
08/21/2015
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