Individual
MRS. CAROLE DARICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 442-6100
Mailing address
10782 SOURWOOD AVE, WALDORF, MD 20603-5753
(240) 346-1730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50082063
DC
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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