Individual
CONSWAILA SYDNOR DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1525 E 55TH STREET, SUITE 301-B, CHICAGO, IL 60615-5581
(773) 841-3112
(773) 841-3112
Mailing address
6531 S INGLESIDE AVE, CHICAGO, IL 60637-4203
(773) 841-3112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011360
IL
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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