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Individual
MRS. THERESA DAVIS
Active
Individual
MRS. THERESA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802075385
MI
Other
Enumeration date
03/10/2010
Last updated
09/01/2023
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