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Individual
PIA DAVIS
Active
Individual
PIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IL
1041C0700X
Clinical Social Worker
Primary
149.028818
IL
Other
Enumeration date
05/06/2022
Last updated
03/02/2025
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