Individual
AUGUSTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
456 PROVIDENCE HWY, DEDHAM, MA 02026-6815
(781) 471-9006
Mailing address
54 ACADEMY ST, ARLINGTON, MA 02476-6436
(161) 752-9130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223327
MA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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