Individual
MISS TRACEY L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 343-3545
Mailing address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 343-3545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4888
KS
Other
Enumeration date
01/10/2007
Last updated
04/08/2015
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