Individual
MRS. CARMEN MILES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
3355 SAINT JOHNS LN, STE F, ELLICOTT CITY, MD 21042-2600
(301) 503-5696
Mailing address
7007 PLYMOUTH RD, PIKESVILLE, MD 21208-6023
(301) 503-5696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14803
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021379900
—
MD
Enumeration date
03/18/2009
Last updated
11/19/2016
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