Individual
TERI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6333 ODANA RD, MADISON, WI 53719-1170
(608) 270-2511
(608) 270-0467
Mailing address
6333 ODANA RD, MADISON, WI 53719-1170
(608) 270-2511
(608) 270-0467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1767-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39250000
—
WI
Enumeration date
04/11/2008
Last updated
04/11/2008
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