Individual
ANDREY DAVYDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3800 N HILLS DR APT 106, HOLLYWOOD, FL 33021-2541
(917) 463-6553
Mailing address
3800 N HILLS DR APT 106, HOLLYWOOD, FL 33021-2541
(917) 463-6553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17683
FL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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