Individual
ANDREA HEATHER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4341 S WESTNEDGE AVE STE 1205, KALAMAZOO, MI 49008-3284
(269) 241-3772
Mailing address
1202 BACON AVE, PORTAGE, MI 49002-7170
(269) 598-6908
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801090819
LICENSE #
MI
Enumeration date
07/15/2013
Last updated
07/22/2025
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