Davis, Mary

Davis, Mary is an sole proprietor health care provider with primary practice located at 34 Concord St , Glastonbury CT 06033-2112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Dietitian, Registered. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Mary can be contacted via phone (860) 657-8742.

Contact Information

Primary practice address
34 Concord St Glastonbury CT 06033-2112
Phone: (860) 657-8742
Fax: (860) 899-1272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5062 Connecticut
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000683 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005062 Connecticut

Profile Details

NPI number 1457418568
LBN Legal business name Davis, Mary
Credentials LCSW, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Nov 1st, 2023 - about last year

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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