Organization
LUMINOUS SELF PLLC
Active
Other names
The Wildflower Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL RHIANNON DAVIS MSW, LICSW (CLINICAL SOCIAL WORKER)
(240) 406-9339
Entity
Organization
Contact information
Practice address
119 SADER DR STE 4, INWOOD, WV 25428-3915
(240) 406-9339
Mailing address
119 SADER DR STE 4, INWOOD, WV 25428-3915
(240) 406-9339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
07/21/2023
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