Individual
LILIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
390 N MADISON AVE, GREENWOOD, IN 46142-2300
(812) 727-4505
Mailing address
3400 S SARE RD APT 121, BLOOMINGTON, IN 47401-8028
(765) 341-6202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011075A
IN
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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