Individual
MR. CLEASTER DAVIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
1811 EXECUTIVE DR STE O, INDIANAPOLIS, IN 46241-4361
(317) 672-2621
Mailing address
1811 EXECUTIVE DR STE O, INDIANAPOLIS, IN 46241-4361
(317) 672-2621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33001935A
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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