Individual
MS. MARIE B DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
914 HARRISON AVENUE, PANAMA CITY, FL 32401
(850) 819-9543
(850) 747-8547
Mailing address
4301 N FEDERAL HWY, SUITE 2S, POMPANO BEACH, FL 33064-6519
(888) 880-9270
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
01/06/2012
Last updated
02/04/2013
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