Individual
MS. ALISIA DANIELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6846 W IRONWOOD DR, PEORIA, AZ 85345-6841
(623) 979-8502
Mailing address
5501 N 19TH AVE, SUITE 310, PHOENIX, AZ 85015-2450
(602) 433-1344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
308570
AZ
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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