Individual
MS. EDWINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1406 BEATTIES FORD RD, CHARLOTTE, NC 28216-4550
(704) 332-9434
Mailing address
2212 BRANDYBUCK LN, CHARLOTTE, NC 28269-4012
(704) 236-1457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005256
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106480
—
NC
Enumeration date
05/30/2007
Last updated
07/08/2007
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