Individual
DEEANN K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
6950 BEATRICE DR, FRUITLAND, ID 83619-1340
(208) 739-3517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-31483
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-4117
OR
1041C0700X
Clinical Social Worker
LMSW 24617
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500687115
—
OR
Enumeration date
08/31/2006
Last updated
10/02/2025
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