Individual
MELISSA L DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 776-6176
Mailing address
1949 PUTNAM PL, PRESCOTT, AZ 86301-5596
(928) 445-4860
(928) 776-6176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11084
AZ
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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