Individual
MS. CYNNAMON RAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
697 W 4170 S, SALT LAKE CITY, UT 84123-1326
(801) 587-2460
(801) 281-5787
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-2460
(801) 281-5787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6903653-3502
UT
Other
Enumeration date
02/23/2011
Last updated
06/01/2015
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