Individual
DOMINIQUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 ABRECHT PL, FREDERICK, MD 21701-4918
(301) 663-8263
Mailing address
1630 CORN CRIB PL, FREDERICK, MD 21702-1675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
085815
NY
1041C0700X
Clinical Social Worker
Primary
32754
MD
1041C0700X
Clinical Social Worker
CW025643
PA
Other
Enumeration date
09/11/2013
Last updated
04/21/2025
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