Individual
LAURA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
102 ROCK ST, HUGHSTOWN, PA 18640
(570) 569-2838
Mailing address
368 TIOGA AVE, KINGSTON, PA 18704-5117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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