Individual
MR. COREY GENE SKIPPER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
621 MAIN ST, PATERSON, NJ 07503-3028
(941) 251-1488
Mailing address
191 BAMFORD AVE, HAWTHORNE, NJ 07506-2914
(941) 251-1488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07164600
NJ
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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