Individual
BROOKE M DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1172 S 10TH ST APT 3, PHILADELPHIA, PA 19147-4635
(484) 470-6412
Mailing address
1172 S 10TH ST APT 3, PHILADELPHIA, PA 19147-4635
(484) 470-6412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020019
PA
Other
Enumeration date
07/22/2019
Last updated
04/15/2025
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