Individual
ALYSSA MARY JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
Mailing address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 589-5863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
07/13/2023
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