Individual
ALICIA ARION DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-3211
(718) 337-6850
Mailing address
17042 130TH AVE, 1A, JAMAICA, NY 11434-6105
(917) 593-3855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005450-01
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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