Individual
MRS. ELIZABETH MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(785) 240-7471
Mailing address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088843
MI
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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