Individual
DEANDRE LAMAR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 WEST TEMPLE ST, LOS ANGELES, CA 90012
(213) 974-3665
Mailing address
320 WEST TEMPLE ST, LOS ANGELES, CA 90012
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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