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Individual

MRS. BRANDYN ALISA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASW

Contact information

Practice address
312 S LINCOLN ST, FORT BRAGG, CA 95437-4416
(530) 208-8335
Mailing address
31700 N MITCHELL CREEK RD, FORT BRAGG, CA 95437-8347
(530) 208-8335

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW91553
CA

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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