MRS. Stephanie Wilder Davidson, LCSW

NPI #1417982190 in Leesburg, Georgia

Provider Information

NPI Number
1417982190
Entity Type
Individual
Name
MRS. Stephanie Wilder Davidson, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jul 11, 2006
Last Updated
Dec 1, 2008

Practice Location

Address
133 WILLOW LAKE DR
State
Georgia
ZIP Code
31763-5386
Phone
(229) 886-8497

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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