Individual
MRS. ELAINE CAROL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4803 JOHN DAVID DR APT A, KILLEEN, TX 76549-2643
(903) 780-3225
Mailing address
4803 JOHN DAVID DR APT A, KILLEEN, TX 76549-2643
(903) 780-3225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
38220
TX
Other
Enumeration date
11/09/2006
Last updated
10/17/2011
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