Individual
DONALD E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
177 GULL CIR N, DAYTONA BEACH, FL 32119-8704
(386) 846-7366
Mailing address
177 GULL CIR N, DAYTONA BEACH, FL 32119-8704
(386) 846-7366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3925
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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