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Individual

MRS. MADISON MACKENZIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSWAIC

Contact information

Practice address
PO BOX 13, WALLA WALLA, WA 99362-0001
(509) 876-7932
Mailing address
812 E BUCKSKIN LN, SPOKANE, WA 99208-4680

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61562093
WA

Other

Enumeration date
08/20/2024
Last updated
08/20/2024
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