Individual
ALISIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1727 KING ST STE 105, ALEXANDRIA, VA 22314-2761
(703) 831-7872
Mailing address
1727 KING ST STE 105, ALEXANDRIA, VA 22314-2761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CALL (405) 962-9191
—
OK
Enumeration date
08/15/2013
Last updated
06/18/2020
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