Individual
MS. PEGGY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3057 S KINNEY RD, TUCSON, AZ 85713-5537
(520) 395-0179
(520) 300-8342
Mailing address
3571 S DOUBLE ECHO RD, TUCSON, AZ 85735-5130
(520) 395-0179
(520) 300-8342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-13379
STATE LICENSE
AZ
Enumeration date
04/04/2012
Last updated
03/09/2013
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