Laura J Davis, LCSW
Social Worker, Clinical in Maplewood, NJ. Individual provider (NPI-1).
NPI number1154774495
StatusActive
Last updated in NPPESJul 21, 2016
Details
- NPI
- 1154774495
- Entity type
- Individual (NPI-1)
- Name
- Laura J Davis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2016
- Last updated
- Jul 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05638300 | NJ | Yes |
Practice location
2040 Millburn AveSuite 205
Maplewood, NJ 07040-3726
Phone 973-205-4875 · Fax 973-761-7214
Mailing address
2040 Millburn AveSuite 205
Maplewood, NJ 07040-3726
Phone 973-205-4875 · Fax 973-761-7214
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