Individual
MR. BRIAN BLAKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MSW, LCSW, CCM
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
5619 BELMONT AVE APT 1152, DALLAS, TX 75206-6753
(903) 436-5999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
62985
TX
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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