Individual
CHA-LOE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 E 79TH ST, CHICAGO, IL 60619-2302
(773) 487-0515
Mailing address
3655 GABRIELLE LN, #1424, AURORA, IL 60504-7993
(630) 898-0657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013385
IL
Other
Enumeration date
03/20/2008
Last updated
02/25/2009
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