Individual
KRYSTAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1621 RESERVE DR, WESTLAKE, LA 70669-6619
(337) 794-6892
Mailing address
1621 RESERVE DR, WESTLAKE, LA 70669-6619
(337) 794-6892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16948
LA
1041C0700X
Clinical Social Worker
8402
LA
Other
Enumeration date
09/29/2022
Last updated
10/05/2022
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