Organization
ALYSSA DAVIS, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA DAVIS LICSW (CEO)
(508) 859-0330
Entity
Organization
Contact information
Practice address
923 ROUTE 6A, YARMOUTH PORT, MA 02675-2159
(508) 859-0330
Mailing address
923 ROUTE 6A, YARMOUTH PORT, MA 02675-2159
(508) 859-0330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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