Davis, Mary M.

Davis, Mary M. is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. 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, Mary M. can be contacted via phone (315) 774-2427.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438
Phone: (315) 774-2427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 064215-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079323 New York

Profile Details

NPI number 1629393681
LBN Legal business name Davis, Mary M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2010
Last updated Aug 5th, 2013 - about 11 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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