Individual
MRS. AKUA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 HARTSFIELD CENTER PKWY, SUITE 500, ATLANTA, GA 30354-1341
(404) 914-6354
Mailing address
PO BOX 361338, DECATUR, GA 30036-1338
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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