Clifton Isaiah Davis
Marriage & Family Therapist in Gardena, CA. Individual provider (NPI-1).
NPI number1760611628
StatusActive
Last updated in NPPESMar 31, 2016
Details
- NPI
- 1760611628
- Entity type
- Individual (NPI-1)
- Name
- Clifton Isaiah Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2009
- Last updated
- Mar 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
108 W Victoria StGardena, CA 90248-3523
Phone 310-715-2020
Mailing address
108 W Victoria StGardena, CA 90248-3523
Phone 310-715-2020
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