Individual
CATHERINE REDDING DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
146 E GENEVA SQ, AURORA HEALTH CENTER, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Mailing address
146 E GENEVA SQ, AURORA HEALTH CENTER, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149-006676
IL
104100000X
Social Worker
6114-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05619771
BCBS
IL
Enumeration date
07/20/2005
Last updated
10/26/2009
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