Davis, Jacqueline A

Davis, Jacqueline A is an sole proprietor health care provider with primary practice located at 1029 Pleasant St Ste 101 , Bridgewater MA 02324-2473. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Jacqueline A can be contacted via phone (844) 946-2152.

Contact Information

Primary practice address
1029 Pleasant St Ste 101 Bridgewater MA 02324-2473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 110796 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110796 Massachusetts

Profile Details

NPI number 1457623621
LBN Legal business name Davis, Jacqueline A
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Feb 2nd, 2022 - 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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