Samantha Davis, LCSW 43737 Valid NPI
Individual provider · Clinical Social Worker · Tenino, WA
- NPI
- 1255938205
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 43737 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-10-02
- Last updated
- 2023-08-09
Practice location
20120 Whitefish Ln Se
Tenino, WA 98589-9510
(360) 628-6452