Individual
REBECCA LEA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
343 S KIRKWOOD RD STE 2, SAINT LOUIS, MO 63122-6195
(314) 206-3494
Mailing address
343 S KIRKWOOD RD STE 2, SAINT LOUIS, MO 63122-6195
(314) 206-3494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009007494
MO
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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