Individual
PATRIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6197 PUMPING STATION RD SE, ELIZABETH, IN 47117-9311
(317) 997-8482
Mailing address
6197 PUMPING STATION RD SE, ELIZABETH, IN 47117-9311
(812) 267-1201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010397A
IN
Other
Enumeration date
06/20/2023
Last updated
08/15/2023
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