Individual
DAYNA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
2138 150TH LN NW, ANDOVER, MN 55304-2569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9535
MN
Other
Enumeration date
04/06/2007
Last updated
08/22/2013
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