Individual
AMY ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15 N 3RD ST, NEWARK, OH 43055-5550
(740) 349-7511
Mailing address
632 MILL RACE RD, GRANVILLE, OH 43023-9310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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