Individual
KELSEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(888) 714-1927
(765) 482-7462
Mailing address
610 E WASHINGTON ST, APT. 1, LEBANON, IN 46052-2218
(765) 891-1372
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
07/05/2016
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