Individual
CHANDRA G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-9554-SUPV
OH
Other
Enumeration date
09/23/2010
Last updated
03/17/2018
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