Individual
LATOYA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
5 HARTFORD CT, APT # 1, DORCHESTER, MA 02125-2823
(617) 794-7120
Mailing address
5 HARTFORD CT, APT # 1, DORCHESTER, MA 02125-2823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5EDBAC8A-FB98-495D-8
CANS
MA
Enumeration date
08/17/2010
Last updated
08/17/2010
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