Individual
ALEXANDER MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1350 BELMONT ST, BROCKTON, MA 02301-4430
(508) 988-5311
Mailing address
1350 BELMONT ST, BROCKTON, MA 02301-4430
(508) 988-5311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117125
MA
Other
Enumeration date
02/13/2018
Last updated
09/16/2019
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