Individual
JAVONTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
6541 SPECKER AVE, FORT CARSON, CO 80913-4263
(843) 304-8252
Mailing address
119 RIDGE RD, DARLINGTON, SC 29532-5913
(843) 304-8252
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15123
SC
104100000X
Social Worker
LSW-3195
HI
Other
Enumeration date
02/28/2025
Last updated
04/15/2025
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