Individual
CORISA S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 GLEN WOOD DR, FAIRFIELD, AL 35064-1616
(205) 568-1997
Mailing address
609 GLEN WOOD DR, FAIRFIELD, AL 35064-1616
(205) 568-1997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6636C
AL
1041C0700X
Clinical Social Worker
CSW.09932719
CO
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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