Individual
MS. KELLY BEST DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ITDS
Contact information
Practice address
4151 6TH ST S, SAINT PETERSBURG, FL 33705-3909
(727) 893-2196
(727) 893-9152
Mailing address
783 30TH AVE N, SAINT PETERSBURG, FL 33704-2065
(407) 739-5355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW12930
FL
1041S0200X
School Social Worker
DOE883531
FL
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811731400
—
FL
Enumeration date
01/22/2007
Last updated
04/25/2016
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