Individual
MS. YOLANDA RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., C-SWHC
Contact information
Practice address
1500 E WOODROW WILSON DR, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-3917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M6831
MS
1041C0700X
Clinical Social Worker
Primary
C6831
MS
Other
Enumeration date
11/08/2006
Last updated
06/04/2014
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