Samantha Davis, LCSW 43737

NPI #1255938205 in Tenino, Washington

Provider Information

NPI Number: 1255938205
Entity Type: Individual
Name: Samantha Davis, LCSW 43737
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW 43737
Enumeration Date: Oct 2, 2020
Last Updated: Aug 9, 2023

Practice Location

Address: 20120 WHITEFISH LN SE
City: Tenino
State: Washington
ZIP Code: 98589-9510
Phone: (360) 628-6452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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