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Individual

MRS. AKUA DAVIS

Active
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Individual

MRS. AKUA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MSW003899
GA
1041C0700X
Clinical Social Worker
Primary
CSW004636
GA
1041S0200X
School Social Worker
654128
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
851572636A
GA
Enumeration date
11/02/2007
Last updated
01/08/2017
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