Individual
MR. BOBBY JEROME DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW 24919
Contact information
Practice address
4240 W 62ND ST, LOS ANGELES, CA 90043-3615
(323) 299-0369
Mailing address
6010 WOOSTER AVE, LOS ANGELES, CA 90056-1434
(818) 568-9029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24919
CA
1041C0700X
Clinical Social Worker
LCSW 24919
CA
Other
Enumeration date
03/07/2007
Last updated
11/30/2021
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