Provider Demographics
NPI:1467513705
Name:DAVILA, SONIA GUADALUPE (LCSW)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:GUADALUPE
Last Name:DAVILA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:G
Other - Last Name:DAVILA-CRUZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ASW,MSW
Mailing Address - Street 1:4785 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0513
Mailing Address - Country:US
Mailing Address - Phone:559-448-5742
Mailing Address - Fax:559-448-4867
Practice Address - Street 1:4785 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0513
Practice Address - Country:US
Practice Address - Phone:559-448-5742
Practice Address - Fax:559-448-4867
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker