Individual
KYLIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2857 SE PINE ST, PORTLAND, OR 97214-1837
(617) 470-6043
Mailing address
5 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(646) 535-1144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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