Individual
DENISE ROSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
141 PIERCE RD, HIGHLAND PARK, IL 60035-5326
(847) 507-4679
Mailing address
141 PIERCE RD, HIGHLAND PARK, IL 60035-5326
(847) 507-4679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-001091
IL
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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