Individual
MS. TAYLOR CHRISTINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-LP
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601-1381
(315) 788-1530
Mailing address
595 W MAIN ST, WATERTOWN, NY 13601-1381
(315) 788-1530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72-P123969-01
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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