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Organization

CYNTHIA DAVIS, LISW, ACSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA MARIA DAVIS LISW, ACSW (OWNER)
(803) 329-7778
Entity
Organization

Contact information

Practice address
1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
(803) 329-7778
(803) 329-7843
Mailing address
1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
(803) 329-7778
(803) 329-7843

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8404
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
QM0747
SC
Enumeration date
01/02/2007
Last updated
02/05/2008
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