Individual
BARBARA ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1035 MOHAWK TRL, CENTRALIA, IL 62801-6844
(618) 532-5457
Mailing address
1035 MOHAWK TRL, CENTRALIA, IL 62801-6844
(618) 532-5457
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150-008177
IL
Other
Enumeration date
04/07/2007
Last updated
05/07/2008
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