Individual
REBECCA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
1749 N WELLS ST, APT 2104, CHICAGO, IL 60614-5877
(845) 642-3706
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
IL
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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