Individual
CHRISTOPHER SEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
396 YELLOWSTONE AVE, POCATELLO, ID 83201-4572
(208) 538-3122
Mailing address
396 YELLOWSTONE AVE, POCATELLO, ID 83201-4572
(208) 538-3122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38785
ID
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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