Individual
RENITA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3233 RAINTREE DR, MONTGOMERY, AL 36116-3313
(334) 207-0981
Mailing address
2018 W FAIRVIEW AVE APT 209, MONTGOMERY, AL 36108-4162
(334) 207-0981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1564-3556C
AL
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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