Individual
JAYLEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
947 1/2 ILLINOIS ST, LAWRENCE, KS 66044-2819
(612) 849-5757
Mailing address
947 1/2 ILLINOIS ST, LAWRENCE, KS 66044-2819
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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