Individual
MS. THERESE CHRISTINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCM RN
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(410) 724-2628
(410) 505-2836
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(410) 724-2628
(410) 505-2836
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
026.0143760
VT
171M00000X
Case Manager/Care Coordinator
175204
CT
171M00000X
Case Manager/Care Coordinator
Primary
4242289
MD
171M00000X
Case Manager/Care Coordinator
L-0034049
DE
171M00000X
Case Manager/Care Coordinator
RN67877
RI
171M00000X
Case Manager/Care Coordinator
TLRN060007
PA
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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