Individual
ALLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 STARR AVE STE K, STARKVILLE, MS 39759-4032
(662) 340-5947
Mailing address
2613 CHARENSON PL, RALEIGH, NC 27614-9860
(919) 830-2026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C014554
NC
1041C0700X
Clinical Social Worker
Primary
C10169
MS
Other
Enumeration date
06/30/2019
Last updated
05/14/2022
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