Individual
TERESA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223-5349
(270) 798-8601
Mailing address
2110 RICHVIEW PL, CLARKSVILLE, TN 37043-5216
(931) 552-2698
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1018
TN
174400000X
Specialist
1018
TN
Other
Enumeration date
11/05/2007
Last updated
11/02/2020
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