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Individual

CHRISTINE REBECCA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
227 FAIRMONT DR, MURFREESBORO, TN 37129-1201
(615) 293-2823
Mailing address
227 FAIRMONT DR, MURFREESBORO, TN 37129-1201
(615) 293-2823

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004480
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5441673
TN
Enumeration date
10/25/2006
Last updated
09/07/2023
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