Davis, Mariah Lee

Davis, Mariah Lee is an individual health care provider with primary practice located at 254 Daleville Highway , Covington Township PA 18444. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Mariah Lee can be contacted via phone (570) 904-7363.

Contact Information

Primary practice address
254 Daleville Highway Covington Township PA 18444
Phone: (570) 904-7363
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW133935 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW020898 Pennsylvania

Profile Details

NPI number 1467982314
LBN Legal business name Davis, Mariah Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Mar 2nd, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467982314 NPPES
Pennsylvania Other UNKNOWN UNKNOWN
Pennsylvania MEDICAID CW020898 UNKNOWN

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