Individual
SHAQUATA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 E WASHINGTON AVE, JONESBORO, AR 72401-3108
(870) 333-5476
(870) 333-5475
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
AR
1041C0700X
Clinical Social Worker
Primary
7764-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/19/2013
Last updated
07/30/2025
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