Individual
ELIZABETH ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R, CASAC
Contact information
Practice address
137 MAIN ST, BOONVILLE, NY 13309-1309
(315) 212-0977
Mailing address
PO BOX 696, BOONVILLE, NY 13309-0696
(315) 212-0977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3007
NY
1041C0700X
Clinical Social Worker
R053416-1
NY
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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