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Individual

ZEKE EDWARD DAVIS I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA LSW

Contact information

Practice address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 752-7830
(304) 752-7832
Mailing address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 752-7830
(304) 752-7832

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00941751
WV

Other

Enumeration date
12/06/2017
Last updated
12/06/2017
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