Individual
DEBORAH LAVONNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
115 S SAINT JOSEPH AVE, NILES, MI 49120-2848
(269) 925-0585
(269) 927-1326
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
(269) 927-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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