Individual
MRS. KRISTEN CANBY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
521 JACK STEPHENS DR, LITTLE ROCK, AR 72205-5524
(501) 686-6560
Mailing address
13606 WOODBROOK DR, LITTLE ROCK, AR 72211-3164
(501) 920-4904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187105719
—
AR
Enumeration date
07/24/2007
Last updated
08/10/2011
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