Individual
CONNIE R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LMFT
Contact information
Practice address
819 W FRANKLIN ST, EVANSVILLE, IN 47710-1137
(812) 491-1805
(812) 491-1929
Mailing address
219 WASHINGTON AVE, EVANSVILLE, IN 47713-1522
(812) 428-0204
(812) 491-1929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34001635A
IN
1041C0700X
Clinical Social Worker
Primary
35000822A
IN
Other
Enumeration date
01/24/2007
Last updated
07/09/2007
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