Individual
JODY LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6907 CHOKEBERRY CT, FREDERICK, MD 21703-7140
(443) 472-0072
Mailing address
6907 CHOKEBERRY CT, FREDERICK, MD 21703-7140
(443) 472-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10914
—
Other
Enumeration date
01/06/2014
Last updated
01/09/2020
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