Individual
LASHANTA T DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Mailing address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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