Individual
MRS. MARY A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
234 BERGER RD, PADUCAH, KY 42003-9784
(270) 994-2387
(270) 993-1991
Mailing address
234 BERGER RD, PADUCAH, KY 42003-4522
(270) 994-2387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3614
KY
Other
Enumeration date
03/27/2012
Last updated
04/16/2014
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