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Individual

MRS. CHALAINE L DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS LCWE

Contact information

Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
(217) 398-8568
Mailing address
511 S DUNCAN RD, CHAMPAIGN, IL 61821-3522
(217) 355-6883

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/05/2006
Last updated
09/28/2007
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