Individual
EVA LISSETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 16TH AVENUE NORTH, NAMPA, ID 83653-0009
(208) 467-7654
(208) 467-7684
Mailing address
PO BOX 9, 211 16TH AVENUE NORTH, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW27645
ID
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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