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Individual

MS. MARY CARLA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5840 LAKE RESORT TER APT F207, CHATTANOOGA, TN 37415-2652
(423) 877-5631
(423) 877-5631
Mailing address
5840 LAKE RESORT TER APT F207, APT F207, CHATTANOOGA, TN 37415-2652
(423) 877-5631
(423) 877-5631

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3070
GA
1041C0700X
Clinical Social Worker
Primary
961
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3693461
TN
Enumeration date
08/07/2006
Last updated
10/08/2025
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