Individual
CHELSEA R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8151 US HIGHWAY 20 W, LENA, IL 61048-9520
(319) 361-9503
Mailing address
8151 US HIGHWAY 20 W, LENA, IL 61048-9520
(319) 361-9503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
149025802
IL
1041C0700X
Clinical Social Worker
Primary
149025802
IL
Other
Enumeration date
01/04/2019
Last updated
07/01/2024
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