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Individual

TORI DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
523A MIKIOI PL, KIHEI, HI 96753-9458
(209) 477-8482
Mailing address
PO BOX 1625, KIHEI, HI 96753-1625
(209) 477-8482

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18235
CA
1041C0700X
Clinical Social Worker
L4630
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-4661
HI

Other

Enumeration date
04/05/2007
Last updated
01/06/2024
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