Individual
KRISTA SHALYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
182 16TH ST, BURLINGTON, CO 80807-1649
(719) 346-9481
Mailing address
430 IOWA AVE, STRATTON, CO 80836-1312
(719) 349-0147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925958
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000181734
—
CO
Enumeration date
07/08/2019
Last updated
07/27/2020
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