Individual
MICHAEL SHANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
930 N 14TH ST, NEW CASTLE, IN 47362-4311
(765) 521-2450
(765) 593-6001
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 593-6001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99096461A
IN
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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