Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4004 E 3RD ST, DAYTON, OH 45403-2242
(937) 474-8391
Mailing address
4004 E 3RD ST, DAYTON, OH 45403-2242
(937) 475-8391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0002316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012188
ANTHEM
ND
01
—
007792009
MAGELLAN
OH
Enumeration date
02/21/2007
Last updated
05/06/2025
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