Individual
DAVIS CROSLAND VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4939 LOWER ROSWELL RD STE 201C, MARIETTA, GA 30068-4384
(770) 578-1519
Mailing address
4939 LOWER ROSWELL RD STE 201C, MARIETTA, GA 30068-4384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007793
GA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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