Individual
KATHERINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 MAPLE AVE, HONESDALE, PA 18431-1459
(570) 253-8219
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020841
PA
Other
Enumeration date
10/30/2019
Last updated
02/15/2022
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