Individual
MRS. MICHELLE R DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3812 ARBUTUS AVENUE, GWYNN OAK, MD 21207-1923
(301) 741-7596
Mailing address
66 PAINTERS MILL RD STE 204, OWINGS MILLS, MD 21117-3657
(301) 741-7596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
Primary
15783
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048933600
—
MD
Enumeration date
11/16/2011
Last updated
01/03/2020
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