Individual
BRENDA L TAYLOR DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615-9323
(309) 589-6800
Mailing address
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615-9323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
150.110225
IL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/24/2023
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