Individual
DERRIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E WASHINGTON ST, CHICAGO, IL 60602-1708
(312) 690-7293
Mailing address
25 E WASHINGTON ST STE 1051, CHICAGO, IL 60602-1710
(312) 690-7293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112685
TX
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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