Individual
MRS. MARISA A DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 FORDING PLACE RD, LAKE KATRINE, NY 12449-5221
(845) 943-3650
Mailing address
7 HART DR, POUGHKEEPSIE, NY 12603-1147
(845) 943-3650
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
083272
NY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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