Organization
A. DAVIS, MSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTA J DAVIS M.S.W., L.I.S.W. - S (PRESIDENT)
(513) 310-7293
Entity
Organization
Contact information
Practice address
77 W ELMWOOD DR, SUITE 202, CENTERVILLE, OH 45459-4239
(937) 436-0700
(937) 424-5749
Mailing address
1784 RIVERWOOD TRL, KINGS MILLS, OH 45034-9766
(513) 310-7293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1101155.SUPV
OH
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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