Individual
CHRISTOPHER BRYS DAVIS
Active
Individual
CHRISTOPHER BRYS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17460
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289P6DA
BCBS
—
01
—
6238565
MEDICA
—
05
—
802944000
—
MA
01
—
943071045367
PREFERRED ONE
—
01
—
I15582
UCARE
—
Enumeration date
08/18/2006
Last updated
02/23/2023
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