Individual
MR. DONALD WADE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
401 N EAST ST, PAOLA, KS 66071-1591
(913) 557-9096
(913) 294-4996
Mailing address
401 N EAST ST, PAOLA, KS 66071-1591
(913) 557-9096
(913) 294-4996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW 7798
KS
Other
Enumeration date
12/20/2010
Last updated
07/12/2012
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