Individual
MRS. JULIE E. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 WYLLYS ST, HARTFORD, CT 06106-2720
(860) 524-6890
Mailing address
115 GOODRICH RD, GLASTONBURY, CT 06033-3012
(860) 659-2368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005328
CT
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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