Individual
MIKAYLA JACQUELINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N MICHIGAN AVE STE 2550, CHICAGO, IL 60611-3182
(312) 640-7740
(312) 640-7736
Mailing address
3130 N LAKE SHORE DR APT 1816, CHICAGO, IL 60657-4923
(616) 821-8103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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