THEORA RIVERS DAVIS

JAMAICA, NY
NPI1578684775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R038262)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
-- THEORA RIVERS DAVIS LCSW
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
Mailing Address
-- THEORA RIVERS DAVIS LCSW
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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