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Individual

DR. MARILYN GRANVILLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D. , LCSW, PIP

Contact information

Practice address
300 ROYAL CREST DR APT H106, MUSCLE SHOALS, AL 35661-6457
(256) 483-3200
Mailing address
300 ROYAL CREST DR APT H106, MUSCLE SHOALS, AL 35661-6457
(256) 483-3200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023C
AL

Other

Enumeration date
03/31/2021
Last updated
03/31/2021
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