Individual
NICOSIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
20 HUGHES RD STE 101, MADISON, AL 35758-2434
(256) 325-1556
Mailing address
20 HUGHES RD STE 101, MADISON, AL 35758-2434
(256) 325-1556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4288G
AL
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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