Jennifer Marie Davis, LMSW

NPI #1962045369 in Deer Park, New York

Provider Information

NPI Number: 1962045369
Entity Type: Individual
Name: Jennifer Marie Davis, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 18, 2019
Last Updated: Oct 18, 2019

Practice Location

Address: 770 GRAND BLVD
City: Deer Park
State: New York
ZIP Code: 11729-5750
Phone: (631) 392-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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