Individual
ELICIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORK
Contact information
Practice address
1886 HIGHWAY 43 S, CANTON, MS 39046-9667
(769) 798-4392
Mailing address
1886 HIGHWAY 43 S, CANTON, MS 39046-9667
(769) 798-4392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.111408
IL
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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