Individual
MR. TIMOTHY WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760-2302
(865) 475-8037
Mailing address
5310 WARD ROAD, SUITE 106, ARVADA, CO 80002-1829
(877) 838-4783
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4142
TN
Other
Enumeration date
01/25/2006
Last updated
05/19/2009
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