Individual
CALEB DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 NE GLEN OAK AVE, SUITE 101, PEORIA, IL 61603-3136
(309) 655-7378
(309) 655-4609
Mailing address
515 NE GLEN OAK AVE, SUITE 101, PEORIA, IL 61603-3136
(309) 655-7378
(309) 655-4609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149.016847
IL
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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