Individual
CHRISTOPHER BRYS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN LICSW
Contact information
Practice address
210 20TH ST S, NEW ULM, MN 56073-2223
(507) 766-7685
(507) 216-6600
Mailing address
210 20TH ST S, NEW ULM, MN 56073-2223
(507) 766-7685
(507) 216-6600
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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