Individual
MICHELLE RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
423 N MCLEAN BLVD STE 324, WICHITA, KS 67203-5964
(316) 854-8575
(316) 869-2277
Mailing address
423 N MCLEAN BLVD STE 324, WICHITA, KS 67203-5964
(316) 854-8575
(316) 869-2277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1849
KS
Other
Enumeration date
01/07/2021
Last updated
06/03/2025
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