Individual
CAROL N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 SEAVIEW AVE, STATEN ISLAND, NY 10305-3401
(718) 226-8912
Mailing address
1 EDGEWATER ST, 6TH FLOOR, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC10170
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00832900
—
NY
Enumeration date
02/13/2006
Last updated
07/08/2007
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