Theora Rivers Davis LCSW

NPI # 

Practice Address:

8268 164Th St

Jamaica, NY, 11432-1121

Practice Phone:

718-883-3225

Practice Fax:

718-883-6193

License Number:

R038262

License State:

NY

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Specialization:

Clinical

Taxonomy Code:

1041C0700X