Individual
MRS. DIANA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 WHITING WAY, SUITE 200, WARNER ROBINS, GA 31088-6481
(478) 662-2710
(478) 333-2985
Mailing address
104 WHITING WAY, SUITE 200, WARNER ROBINS, GA 31088-6481
(478) 662-2710
(478) 333-2985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003584
GA
1041C0700X
Clinical Social Worker
SW 7900
FL
Other
Enumeration date
02/08/2012
Last updated
01/14/2019
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