Individual
JANICE M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW-C, MAC
Contact information
Practice address
4329 NORTHVIEW DR, BOWIE, MD 20716-2601
(301) 888-5481
Mailing address
13615 VINCENT WAY, BOWIE, MD 20715-6025
(301) 938-4262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10157
MD
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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