Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 S HIGH POINT RD STE 209, MADISON, WI 53719-4926
(608) 826-8000
Mailing address
1222 E WASHINGTON AVE APT 202, MADISON, WI 53703-4213
(608) 698-3434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9514123
WI
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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