Individual
MAKHIYA CHANTEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
522 W PARK AVE STE Q-R, GREENWOOD, MS 38930-2906
(662) 374-5032
Mailing address
206 BARNWELL ST, GREENWOOD, MS 38930-3302
(662) 299-9058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149027147
IL
Other
Enumeration date
12/20/2023
Last updated
09/12/2025
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