Individual
MS. CANDICE LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSCSW
Contact information
Practice address
947 LOUISANA ST, LAWRENCE, KS 66044
(785) 312-9800
(785) 312-9800
Mailing address
947 LOUISANA ST, LAWRENCE, KS 66044
(785) 312-9800
(785) 312-9800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2144
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69503
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/14/2006
Last updated
07/08/2007
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