Individual
ALLYSHA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 STODDARD RD STE 600, MODESTO, CA 95356-9041
(209) 543-1874
(209) 543-1869
Mailing address
207 E ST STE B, DAVIS, CA 95616-4523
(209) 968-0180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
98770
CA
1041C0700X
Clinical Social Worker
ASW65373
CA
Other
Enumeration date
07/22/2016
Last updated
04/07/2021
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