Individual
MRS. NANCY JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
468 N WOODLAND HEIGHTS DR, CRAWFORDSVILLE, IN 47933
(765) 362-4800
Mailing address
PO BOX 631, CRAWFORDSVILLE, IN 47933
(765) 362-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000492A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015232
CIGNA
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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