NPI 1205844172

Tarah R Davis, LISWCP

Practitioner Clinical Social Worker Blythewood, SC

Practice location

Address: 428 Upper Forest Ln, Blythewood, SC 29016-7199
Phone: (203) 676-7009

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 10074 (SC)

Other Social Worker providers in South Carolina →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 005551 (CT)

Registry record

NPI: 1205844172
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2006
Record last updated: 31 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.