Individual
KYLE BURTON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1919 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55104-3435
(651) 266-7999
(651) 266-7850
Mailing address
1919 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55104-3435
(651) 266-7999
(651) 266-7850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22688
MN
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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