Individual
BERTHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1010 LAKE ST, OAK PARK, IL 60301-1147
(708) 970-7512
Mailing address
4926 W RICE ST, CHICAGO, IL 60651-3151
(773) 494-4553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024731
IL
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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