Organization
CHILDREN & FAMILY INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WILLIAM DAVIS LCSW (OWNER)
17755754141
Entity
Organization
Contact information
Practice address
35 N WEST ST, FERNLEY, NV 89408-7671
(177) 557-5414
(177) 557-5414
Mailing address
35 N WEST ST, FERNLEY, NV 89408-7671
(177) 557-5414
(177) 557-5414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4835-C
NV
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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