Individual
BRAD W DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 S MAIN ST, LIMA, OH 45804-1240
(567) 371-4418
Mailing address
1436 LOWELL AVE, LIMA, OH 45805-3118
(419) 230-5067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2207233
OH
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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