Individual
MALCHIRA C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4347 N 46TH ST, MILWAUKEE, WI 53216-1468
(414) 550-8625
Mailing address
4347 N 46TH ST, MILWAUKEE, WI 53216-1468
(414) 550-8625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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