Individual
SHADEQUIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCSP
Contact information
Practice address
402 RICHARDS ST, JOLIET, IL 60433-2218
(815) 727-5271
Mailing address
1440 S MICHIGAN AVE APT 312, CHICAGO, IL 60605-2956
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2489765
IL
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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