Individual
RITA K DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
3700 ROSS AVE, BOX 96, DALLAS, TX 75204-5422
(972) 925-3386
(972) 925-3387
Mailing address
3700 ROSS AVE, BOX 96, DALLAS, TX 75204-5422
(972) 925-3386
(972) 925-3387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
04785
TX
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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