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1548457369
JODY M. DAVIDSON
LAKE CHARLES, LA
NPI
1548457369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 7754)
Enumeration Date
2007-09-25
Last Update Date
2021-10-28
Business Address
Mr. JODY M. DAVIDSON L.C.S.W.
1513 22ND ST
LAKE CHARLES, LA 70601-8821
Phone number: 337-794-1141
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Mailing Address
Mr. JODY M. DAVIDSON L.C.S.W.
1513 22ND ST
LAKE CHARLES, LA 70601-8821
Phone number:
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