Individual
BRIANA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 726-3582
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 672-2119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801108487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497225304
—
MI
01
—
DP-AADC
CAACD
MI
Enumeration date
12/04/2018
Last updated
03/31/2021
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