JODY M. DAVIDSON

LAKE CHARLES, LA
NPI1548457369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  7754)
Enumeration Date2007-09-25
Last Update Date2021-10-28
Business Address
Mr. JODY M. DAVIDSON L.C.S.W.
1513 22ND ST
LAKE CHARLES, LA 70601-8821
Phone number: 337-794-1141
Mailing Address
Mr. JODY M. DAVIDSON L.C.S.W.
1513 22ND ST
LAKE CHARLES, LA 70601-8821
Phone number: