Individual
DR. AUDREY R. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., MSW, LCSW
Contact information
Practice address
494 W BOUGHTON RD STE 4B, BOLINGBROOK, IL 60440-1881
(630) 863-0408
(815) 714-6220
Mailing address
215 BROOKWOOD LN E, BOLINGBROOK, IL 60440-5517
(630) 863-0408
(815) 714-6220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019648
IL
1041S0200X
School Social Worker
—
—
Other
Enumeration date
11/08/2017
Last updated
02/05/2022
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