Individual
LAKYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 W 96TH ST, INDIANAPOLIS, IN 46260-1191
(765) 401-1540
Mailing address
131 S RIVER RD, COVINGTON, IN 47932-8500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010478A
IN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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