Individual
LORA CAROL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1207
KY
1041C0700X
Clinical Social Worker
1207
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160630
—
OH
05
—
82000423
—
KY
Enumeration date
07/26/2005
Last updated
12/20/2018
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