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Individual
MS. THERESA B DAVIS
Active
Individual
MS. THERESA B DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
19457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1823478
—
TX
Enumeration date
05/02/2007
Last updated
10/07/2025
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