Individual
MS. ALISIA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4954 OLYMPIA PL, WALDORF, MD 20602-5105
(760) 351-6371
Mailing address
4954 OLYMPIA PL, WALDORF, MD 20602-5105
(760) 351-6371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC303098
DC
1041S0200X
School Social Worker
Primary
LC303098
DC
Other
Enumeration date
10/27/2016
Last updated
06/26/2024
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