Individual
TATIANA MARGARITA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
67 PRESIDENT STREET, CHARLESTON, SC 29425
(843) 792-6123
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
1309
SC
Other
Enumeration date
01/23/2007
Last updated
11/06/2020
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