Individual
REBEKAH LAUREN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10616 MELLOW MDWS, #8A, AUSTIN, TX 78750-1251
(512) 761-5166
Mailing address
10616 MELLOW MDWS, #8A, AUSTIN, TX 78750-1251
(512) 761-5166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
60661
TX
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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