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Individual

ANNA K DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
559 VINCENT ST BLDG 725, PETERSON AFB, CO 80914-1541
(719) 306-2077
Mailing address
PSC 2 BOX 8159, APO, AE 09012-0082

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007278
GA
171000000X
Military Health Care Provider
MSW007640
GA

Other

Enumeration date
08/05/2019
Last updated
04/02/2025
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