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1871088112
ALYSSA MARY JANE DAVIS
SHAWNEE, OK
NPI
1871088112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2018-06-28
Last Update Date
2023-07-13
Business Address
ALYSSA MARY JANE DAVIS LCSW
326 W 11TH ST
SHAWNEE, OK 74801-6710
Phone number: 405-275-3340
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Mailing Address
ALYSSA MARY JANE DAVIS LCSW
326 W 11TH ST
SHAWNEE, OK 74801-6710
Phone number: 405-589-5863
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