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Individual

CAROL DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3404 OCEAN AVE, C2, EAST ROCKAWAY, NY 11518-1573
(516) 593-5251
Mailing address
3404 OCEAN AVE, C2, EAST ROCKAWAY, NY 11518-1573
(516) 593-5251

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73-071352
NY

Other

Enumeration date
06/11/2014
Last updated
06/11/2014
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