Individual
MS. CLAUDIA D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
247 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6702
(260) 418-6765
(260) 486-1496
Mailing address
247 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6702
(260) 418-6765
(260) 486-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004602
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331430
—
IN
Enumeration date
04/23/2007
Last updated
09/02/2013
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