Individual
MRS. EVELYN T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
434 SYLVAN TRL, CLINTON, MS 39056-2001
(601) 923-6401
Mailing address
434 SYLVAN TRL, CLINTON, MS 39056-2001
(601) 923-6401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5492
MS
Other
Enumeration date
10/21/2012
Last updated
11/27/2012
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