Individual
KELSEY ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
99 AUTUMN ST, ALIQUIPPA, PA 15001-1301
(724) 375-8147
Mailing address
99 AUTUMN ST, ALIQUIPPA, PA 15001-1301
(724) 375-8147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139101
PA
Other
Enumeration date
05/17/2022
Last updated
06/08/2022
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