Individual
JOHNNIE S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3326
Mailing address
4715 STONELEIGH DR, SAN ANTONIO, TX 78220-4731
(210) 617-5300
(210) 949-3326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05049
TX
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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