Individual
KRISTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 322-1026
Mailing address
511 SHADY ACRES LN, PRAIRIE GROVE, AR 72753-2503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-42928
ID
Other
Enumeration date
04/30/2020
Last updated
10/21/2025
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