Individual
GINGER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
100 COMMUNITY DR, SUITE 105, TOBYHANNA, PA 18466-8985
(570) 839-9975
(570) 839-3395
Mailing address
17 ALGER AVE, TANNERSVILLE, PA 18372-9042
(570) 619-5726
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127459
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394532
MEDICARE
PA
Enumeration date
10/22/2009
Last updated
10/22/2009
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