David Alan Davis, MSW
Social Worker, Clinical in Riverside, CA. Individual provider (NPI-1).
NPI number1164070041
StatusActive
Last updated in NPPESSep 3, 2019
Details
- NPI
- 1164070041
- Entity type
- Individual (NPI-1)
- Name
- David Alan Davis
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Last updated
- Sep 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
17460 Krameria AveRiverside, CA 92504-6129
Phone 951-707-5665
Mailing address
1940 S Helen AveOntario, CA 91762-6025
Phone 805-215-2347
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