Individual
MS. BRENDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
221 PALISADE AVENUE, JERSEY CITY, NJ 07306
(201) 656-3116
(201) 656-9044
Mailing address
817 BROADWAY, FL 9, NEW YORK, NY 10003-4709
(201) 656-3116
(201) 656-9044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
063228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528275997
NPI ENUMERATOR
NJ
Enumeration date
05/16/2007
Last updated
08/13/2016
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