Davis, Alyssa Mary Jane

Davis, Alyssa Mary Jane is an individual health care provider with primary practice located at 326 W 11Th St , Shawnee OK 74801-6710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Alyssa Mary Jane can be contacted via phone (405) 275-3340.

Contact Information

Primary practice address
326 W 11Th St Shawnee OK 74801-6710
Phone: (405) 275-3340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1871088112
LBN Legal business name Davis, Alyssa Mary Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2018
Last updated Jul 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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