Individual
MRS. CLARA ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460
Mailing address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 36150598P
EARLY INTERVENTION (CBO)
IL
Enumeration date
04/02/2007
Last updated
09/11/2025
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