Individual
EZRA COLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4178
(406) 258-4789
Mailing address
401 RAILROAD ST W, MISSOULA, MT 59802-4178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BBH-LMSW-LIC-78429
MT
104100000X
Social Worker
Primary
—
MT
Other
Enumeration date
06/15/2026
Last updated
07/21/2026
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